西南国防医药
西南國防醫藥
서남국방의약
MEDICAL JOURNAL OF NATIONAL DEFENDING FORCES IN SOUTHWEST CHINA
2014年
5期
494-496,497
,共4页
颈椎%椎间盘突出症%Zero-P椎间融合术%疗效
頸椎%椎間盤突齣癥%Zero-P椎間融閤術%療效
경추%추간반돌출증%Zero-P추간융합술%료효
cervical%disc herniation%Zero-P intervertebral fusion%clinical effect
目的：比较颈椎Zero-P椎间融合术与椎间植骨钛板内固定术在单节段颈椎间盘病变中的治疗效果。方法选择我院收治的单节段颈椎间盘突出症患者50例，随机分为Zero-P椎间融合术的观察组或椎间植骨钛板内固定术的对照组，每组25例，对比两组术中情况、手术前后JOA评分、椎体融合率、术后症状缓解率及并发症发生率。结果观察组手术时间、术中出血及取髂骨时间均显著低于对照组（P＜0．05）；两组术后3和12个月的JOA评分均显著优于术前（P＜0．05）；两组椎体融合率无显著差异（P＞0．05）；观察组症状缓解率显著优于对照组（P＜0．05）。结论 Zero-P椎间融合术手术时间短、术中出血少、症状缓解率高，且术后并发症少，值得临床推广。
目的：比較頸椎Zero-P椎間融閤術與椎間植骨鈦闆內固定術在單節段頸椎間盤病變中的治療效果。方法選擇我院收治的單節段頸椎間盤突齣癥患者50例，隨機分為Zero-P椎間融閤術的觀察組或椎間植骨鈦闆內固定術的對照組，每組25例，對比兩組術中情況、手術前後JOA評分、椎體融閤率、術後癥狀緩解率及併髮癥髮生率。結果觀察組手術時間、術中齣血及取髂骨時間均顯著低于對照組（P＜0．05）；兩組術後3和12箇月的JOA評分均顯著優于術前（P＜0．05）；兩組椎體融閤率無顯著差異（P＞0．05）；觀察組癥狀緩解率顯著優于對照組（P＜0．05）。結論 Zero-P椎間融閤術手術時間短、術中齣血少、癥狀緩解率高，且術後併髮癥少，值得臨床推廣。
목적：비교경추Zero-P추간융합술여추간식골태판내고정술재단절단경추간반병변중적치료효과。방법선택아원수치적단절단경추간반돌출증환자50례，수궤분위Zero-P추간융합술적관찰조혹추간식골태판내고정술적대조조，매조25례，대비량조술중정황、수술전후JOA평분、추체융합솔、술후증상완해솔급병발증발생솔。결과관찰조수술시간、술중출혈급취가골시간균현저저우대조조（P＜0．05）；량조술후3화12개월적JOA평분균현저우우술전（P＜0．05）；량조추체융합솔무현저차이（P＞0．05）；관찰조증상완해솔현저우우대조조（P＜0．05）。결론 Zero-P추간융합술수술시간단、술중출혈소、증상완해솔고，차술후병발증소，치득림상추엄。
Objective To compare the clinical effects of Zero-P intervertebral fusion versus intervertebral bone graft combined with titanium plate fixation to the treatment of single-level cervical intervertebral disc lesions .Methods Fifty patients with single-level cervical disc herniation admitted to our hospital were randomly and equally divided into observation group ( treated by Zero-P intervertebral fusion ) and control group ( treated by intervertebral bone graft combined with titanium plate fixation ) .The two groups were compared in terms of intraoperative conditions ,preoperative and postoperative JOA scores ,vertebral fusion rate ,symptom remission rate , and complication rate .Results The observation group had a significantly shorter operation time ,significantly less intraoperative blood loss,and a significantly shorter duration of iliac bone harvesting ,as compared with the control group(P<0.05).Both groups showed significant increases in JOA scores at 3 and 12 months after operation(P<0.05).There was no significant difference in intervertebral fusion rate between the two groups (P>0.05).The observation group had a significantly higher symptom remission rate than the control group(P<0.05).The control group had a significantly higher complication rate than the observation group (P<0.05).Conclusions Zero-P intervertebral fusion has the advantages of short operation time ,little intraoperative blood loss ,high symptom remission rate ,and few postoperative complications and holds promise for clinical application .
