浙江中医药大学学报
浙江中醫藥大學學報
절강중의약대학학보
JOURNAL OF ZHEJIANG UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2013年
7期
877-880
,共4页
颈椎退行性病变%前路颈椎间盘切除融合术%ROI融合器%早期
頸椎退行性病變%前路頸椎間盤切除融閤術%ROI融閤器%早期
경추퇴행성병변%전로경추간반절제융합술%ROI융합기%조기
degenerative cervical lesion%anterior cervical intervertebral disc resection arthrodesis%ROI fusion cage%early
[目的]评估ROI融合器治疗颈椎退行性病变的早期临床结果及影像学结果。[方法]2011年1月至2013年4月(最后1个患者随防末期的时间)我院应用ROI融合器对16名患者行前路颈椎间盘切除融合术。临床结果应用神经根数字疼痛分级量表(numeric rating scale,NRS)和颈椎功能障碍指数(neck disability index,NDI)评估。在术前和术后1、3、6、12个月采集数据。颈椎影像学资料在术后当日以及术后3、6、12个月采集。应用动力位X光片和颈椎CT来评估椎间融合情况。另外记录每个节段所需的手术时间、出血量及术后并发症的发生。[结果]NDI、NRS评分均按时间顺序逐渐降低,半年后趋于稳定,1年后两者平均评分分别从23.32、8.93降至8.64、1.57,差异有统计学意义(P<0.05)。椎间角术后即增加,后逐渐降低,半年后趋于稳定,1年后平均角度为3.6°。椎间高度术后最大,然后逐渐降低,1年后平均椎间高度为5.32mm左右。1年后16例患者椎间全部获得了融合。短期融合率达到100%。[结论]应用ROI融合器行颈前路椎间融合可以获得良好的早期临床及影像学结果。
[目的]評估ROI融閤器治療頸椎退行性病變的早期臨床結果及影像學結果。[方法]2011年1月至2013年4月(最後1箇患者隨防末期的時間)我院應用ROI融閤器對16名患者行前路頸椎間盤切除融閤術。臨床結果應用神經根數字疼痛分級量錶(numeric rating scale,NRS)和頸椎功能障礙指數(neck disability index,NDI)評估。在術前和術後1、3、6、12箇月採集數據。頸椎影像學資料在術後噹日以及術後3、6、12箇月採集。應用動力位X光片和頸椎CT來評估椎間融閤情況。另外記錄每箇節段所需的手術時間、齣血量及術後併髮癥的髮生。[結果]NDI、NRS評分均按時間順序逐漸降低,半年後趨于穩定,1年後兩者平均評分分彆從23.32、8.93降至8.64、1.57,差異有統計學意義(P<0.05)。椎間角術後即增加,後逐漸降低,半年後趨于穩定,1年後平均角度為3.6°。椎間高度術後最大,然後逐漸降低,1年後平均椎間高度為5.32mm左右。1年後16例患者椎間全部穫得瞭融閤。短期融閤率達到100%。[結論]應用ROI融閤器行頸前路椎間融閤可以穫得良好的早期臨床及影像學結果。
[목적]평고ROI융합기치료경추퇴행성병변적조기림상결과급영상학결과。[방법]2011년1월지2013년4월(최후1개환자수방말기적시간)아원응용ROI융합기대16명환자행전로경추간반절제융합술。림상결과응용신경근수자동통분급량표(numeric rating scale,NRS)화경추공능장애지수(neck disability index,NDI)평고。재술전화술후1、3、6、12개월채집수거。경추영상학자료재술후당일이급술후3、6、12개월채집。응용동력위X광편화경추CT래평고추간융합정황。령외기록매개절단소수적수술시간、출혈량급술후병발증적발생。[결과]NDI、NRS평분균안시간순서축점강저,반년후추우은정,1년후량자평균평분분별종23.32、8.93강지8.64、1.57,차이유통계학의의(P<0.05)。추간각술후즉증가,후축점강저,반년후추우은정,1년후평균각도위3.6°。추간고도술후최대,연후축점강저,1년후평균추간고도위5.32mm좌우。1년후16례환자추간전부획득료융합。단기융합솔체도100%。[결론]응용ROI융합기행경전로추간융합가이획득량호적조기림상급영상학결과。
[Objective] The objective of the study was to determine the clinical and radiological outcomes of cervical interbody fusion using ROI cages. [Methods] Patients showing degenerative cervical mono- or bi-level pathology were prospectively included. Using AP and lateral radiographs, segmental height of the treated segments was determined quantitatively. Cage characteristics were described qualitatively. Clinical data such as the neck disability in-dex(NDI), numeric rating scale(NRS) were col ected at al time points .[Results] The scores of NDI, NRS were decreased gradual y, and stable after half year;but they were respectively reduced to 8.64 and 1.57 from 23.32 and 8.93, with difference of statistical meaning. The intervertebral angle increased af-ter operation, then decreased gradual y and was stable after half year, was 3.6 °after 1 year. The intervertebral height was maximum after operation, then re-duced gradual y, and was 5.32mm or so after 1 year. 16 patients were al cured after 1 year, with short fusion rate reaching 100%. [Conclusions] The clini-cal and radiological short-term outcome of anterior cervical discectomy and fusion using ROI cage are excel ent.