CAJ | 학술논문

　　目的：研究前路椎体次全切术后，钛网支撑融合椎间隙改变程度与颈椎曲度改变后轴性症状的发生率。方法：对我科92例颈椎前路椎体次全切术后患者随访1～3年，平均2年，在手术前、术后3个月和术后2年时拍摄颈椎侧位X线片，测量钛网支撑融合椎间隙高度，计算钛网支撑融合椎间隙高度的变化值，依据患者术后椎间隙高度变化情况将全部样本分为三组，对三组患者术后轴性症状发生率进行观察、分类及统计学分析。结果：三组颈椎轴性症状发生率分别为66.67%、30.00%和37.50%，经过统计学分析，A组：B组X2值=7.43，P＜0.05；B组：C组X2值=7.11，P＜0.05；A组：C组X2值=0.15，P＞0，05，差异无统计学意义。结论：颈椎前路椎体次全切术后钛网支撑融合椎间隙高度的变化与颈部轴性症状的发生率有显著相关性。
　　목적：연구전로추체차전절술후，태망지탱융합추간극개변정도여경추곡도개변후축성증상적발생솔。방법：대아과92례경추전로추체차전절술후환자수방1～3년，평균2년，재수술전、술후3개월화술후2년시박섭경추측위X선편，측량태망지탱융합추간극고도，계산태망지탱융합추간극고도적변화치，의거환자술후추간극고도변화정황장전부양본분위삼조，대삼조환자술후축성증상발생솔진행관찰、분류급통계학분석。결과：삼조경추축성증상발생솔분별위66.67%、30.00%화37.50%，경과통계학분석，A조：B조X2치=7.43，P＜0.05；B조：C조X2치=7.11，P＜0.05；A조：C조X2치=0.15，P＞0，05，차이무통계학의의。결론：경추전로추체차전절술후태망지탱융합추간극고도적변화여경부축성증상적발생솔유현저상관성。
Objective:To study after the anterior cervical corpectomy operation the height change and its relation to the neck axial symptoms.Methods:Follow-up 92 patients of my department who received anterior cervical corpectomy operation from 1to3 years,av-erage 2 years.All the patients photographed by X-Ray before the operation、after operation 3 months and after 2 years to find out The height change of intervertebral space All the patients were separated into 3 groups by the height change of intervertebral space.Sur-veyed the three groups the axial symptoms and analyse the differention Results:The three groups incidence of neck axial symptoms was 66.67%,30.00% and 37.50%,Obviously There were significant differention in statistical analysis between group A group B, group B to group C (X1=7.43,P<0.05;X2=7.11,P<0.05)There was no significant statistical analysis differention between group A to group C (X3=0.15,P>0.05).Conclusions:There is significant relationship between the height change of intervertebral space and neck axial symptoms after anterior cervical corpectomy.