摘要
目的探讨显微镜行颈前路融合手术治疗单节段神经根型颈椎病的近期疗效。方法选取本院于2016-05-2017-10收治的82例神经根型颈椎病患者,按照不同的手术方法进行分组研究,将其分为参照组和研究组,参照组(n=41)施行颈前路融合术,研究组(n=41)选择显微镜下行颈前路融合手术。采用视觉模拟评分法(Visual Analogue Scale,VAS)、日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores,JOA),对比分析两组患者的近期疗效结果。结果研究组的手术时长明显短于参照组;其术中出血量明显少于对照组;其融合率明显高于对照组;组间对比差异均有统计学意义(P<0.05)。治疗前,两组VAS评分、JOA评分差异无统计学意义(P>0.05);治疗后,研究组的VAS评分明显优于对照组;治疗后1个月、2个月,研究组的JOA评分均明显优于对照组;其优良率明显高于对照组,组间对比差异有统计学意义(P<0.05)。结论采用显微镜行颈前路融合手术治疗单节段神经根型颈椎病,手术时间短,术中出血量少,手术安全性较好,疗效可靠。
Objective To investigate the short-term curative effect of microsurgical anterior cervical fusion for the treatment of single-segment cervical spondylotic radiculopathy. Methods From May 2016 to October 2017, 82 patients with cervical spondylotic radiculopathy in our hospital were selected and divided into two groups according to different surgical methods, with 41 cases in each group. The control group underwent anterior cervical fusion, and the study group underwent microsurgical anterior cervical fusion. The Visual analog scale（VAS） and Japanese orthopedic association scores（JOA） were used to compare the short-term outcome of the two groups, and the result of the two groups of patients was compared and analyzed. Results The operation time of the study group was significantly shorter than that of the control group. The intraoperative blood loss of the study group was significantly less than that of the control group. The fusion rate of the study group was significantly higher than that of the control group. The differences between the two groups were statistically significant （P〈0.05）. After treatment, the VAS score of the study group was significantly better than the control group. After 1 month, 2 months, the JOA scores of the study group were significantly better than the control group. The excellent rate of the study group was significantly higher than the control group, the difference between the two groups was statistically significant （P〈0.05）. Conclusion Microscopic cervical anterior fusion in the treatment of cervical spondylosis of single segment of nerve root type has short operation time, less blood loss, the operation is safe and the curative effect is reliable.
作者
彭雄
陈嘉联
PENG Xiong;CHEN Jia-lian(the Second Department of Orthopaedics,People＇s Hospital of Hanchuan,Xiaogan Hubei,431600,China.)
出处
《颈腰痛杂志》
2018年第4期455-457,共3页
The Journal of Cervicodynia and Lumbodynia
关键词
显微镜
颈前路融合手术
神经根型颈椎病
microscope
anterior cervical fusion surgery
nerve root type cervical spondylosis
