CAJ | 학술논문

目的：观察颈前路手术治疗颈椎间盘多节段突出症的临床效果。方法回顾性分析50例颈椎间盘多节段突出症患者的临床资料，其中26例患者采用颈前路手术治疗，视为观察组（n=26），其余24例患者采用颈后路手术治疗，视为对照组（n=24），对比2组的临床效果。结果2组患者的术后JOA评分和硬脊膜囊矢状径相对于术前均有显著改善（P＜0.05），但观察组患者改善程度优于对照组（P＜0.01）；观察组患者的并发症发生率稍高于对照组，但是差异不显著（P＞0.05）。结论颈前路手术治疗颈椎间盘多节段突出症的临床效果显著，随着内固定技术的发展和进步，该手术方式将会成为治疗颈椎间盘多节段突出症的主要方式。
목적：관찰경전로수술치료경추간반다절단돌출증적림상효과。방법회고성분석50례경추간반다절단돌출증환자적림상자료，기중26례환자채용경전로수술치료，시위관찰조（n=26），기여24례환자채용경후로수술치료，시위대조조（n=24），대비2조적림상효과。결과2조환자적술후JOA평분화경척막낭시상경상대우술전균유현저개선（P＜0.05），단관찰조환자개선정도우우대조조（P＜0.01）；관찰조환자적병발증발생솔초고우대조조，단시차이불현저（P＞0.05）。결론경전로수술치료경추간반다절단돌출증적림상효과현저，수착내고정기술적발전화진보，해수술방식장회성위치료경추간반다절단돌출증적주요방식。
Objective To observe the clinical effect of anterior cervical operation treatment of cervical disc herniation of multi segment. Methods A retrospective analysis of the clinical data of 50 patients with cervical disc herniation patients with multi segmental cervical, 26 patients were treated with anterior cervical operation treatment, as the observation group (n=26), the remaining 24 cases were treated by posterior cervical operation treatment, as the control group (n=24), compared the clinical effects of 2 groups. Results The 2 groups of patients with postoperative JOA score and the sagittal diameter of dural sac compared with preoperative significantly improved (P<0.05), but the improvement in observation group was better than control group (P<0.01);the patients in observation group the incidence of complications is slightly higher than that of the control group, but the difference was not significant (P>0.05). Conclusion The clinical effect of anterior cervical operation treatment of cervical disc herniation of multi segment significantly, with internal fixation technology development and progress, will become the main method for treatment of cervical disc herniation of multi segment of the operation mode.