摘要
目的:探讨长节段椎体次全切除减压术与多平面椎间隙减压术治疗多节段颈椎病的对比。方法:选择2014年7月至2016年7月在我院接受治疗具有完整病历资料且经影像学检查确诊为3个节段以上颈椎病的患者100例进行分析。根据患者接受手术方式的不同,将其分为两组,对照组50例行长节段椎体次全切除减压术,观察组50例行多平面椎间隙减压术。两组患者均在采用气管插管全麻下施术,选择右侧胸锁乳突肌前缘行斜切口后进行手术。观察两组患者手术时间、术中出血量、并发症发生率、术后1年植骨融合率及颈椎功能恢复情况。结果:观察组手术时间明显比对照组短,术中出血量明显比对照组少(P<0.05),对照组并发症发生率(6.0%)与观察组(4.0%)差异无统计学意义(P>0.05)。两组患者治疗后JOA评分均明显上升,但观察组上升幅度更大(P<0.05);两组治疗后NDI指数均明显下降,但观察组下降趋势更为明显(P<0.05)。观察组植骨融合成功率为96%明显高于对照组的84%(P<0.05)。结论:多平面椎间隙减压术治疗多节段颈椎病与长节段椎体次全切除减压术相比可明显缩短手术时间、减少术中出血量、改善患者颈椎功能、提高1年植骨融合率。
Objective： To compare the results of multisegmental cervical spondylosis treated by subtotal decompressive surgery with multi-faceted vertebral decompression. Methods： A retrospective analysis of 100 patients with cervical spondylosis diagnosed as having more than 3 segments by imaging examination from July 2014 to July 2016 in our hospital.According to the different surgical procedures,the patients were divided into two groups. The control group received 50 cases of subtotal vertebral subtotal decompression. The observation group received 50 cases of multiplanar intervertebral decompression. Two groups of patients were under general anesthesia with endotracheal intubation,select the right sternocleidomastoid anterior oblique incision for surgery. The operation time,intraoperative blood loss,the incidence of complications,the fusion rate of bone graft and the recovery of cervical function at 1 year after operation were observed. Count data using chi-square test for analysis,measurement data using test analysis. Results： The operation time of the observation group was significantly shorter than that of the control group,and the amount of bleeding during the operation was significantly less than that of the control group（P〈0. 05）. The incidence of complications in the control group was6. 0% and 4. 0% in the observation group with no statistical significance（P〈0. 05）. The JOA scores of both groups were significantly increased after treatment,but the observation group increased more significantly（P〈0. 05）. The NDI index of both groups decreased significantly after treatment,but the declining tendency of the observation group was more obvious（P〈0. 05）. The success rate of bone graft fusion in the observation group was 96%,which was significantly higher than that in the control group（84%,P〈0. 05）. Conclusion： Compared with long segment total subtotal decompression,multiplanar intervertebral decompression for multi-segment cervical spondylosis can significantly shorten the operation
作者
张富运
马伟涛
ZHANG Fu-yun;MA Wei-tao(Dept.of Orthopaedics,Jiaozuo Second People＇s Hospital,Jiaozuo,Henan 45400)
出处
《赣南医学院学报》
2018年第5期472-475,共4页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
长节段椎体次全切除减压术
多平面椎间隙减压术
多节段颈椎病
对比
Long Segment Vertebral Subtotal Decompression
Multiplanar Intervertebral Decompression
Multi-segment Cervical Spondylosis
Comparison
