中国中西医结合外科杂志
中國中西醫結閤外科雜誌
중국중서의결합외과잡지
CHINESE JOURNAL OF SURGERY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2014年
2期
143-145
,共3页
颈椎病%颈椎融合术%相邻节段退变
頸椎病%頸椎融閤術%相鄰節段退變
경추병%경추융합술%상린절단퇴변
Cervical spondylosis%cervical spine fusion%adjacent segment degeneration
目的：探讨颈椎前路减压融合术后相邻节段退变的因果关系。方法：对237例患者行前路椎间节段减压植骨融合术（87例)，椎体次全切除减压植骨融合术（109例)，椎间节段减压、椎体次全切除减压植骨融合术（41例)。通过影像学检查，观察不同手术方法术后相邻节段退变发生情况。结果：术后随访时间2.6~13年，平均6.8年；发生相邻节段明显退变的120例（50.6%），头侧相邻节段退变发生率明显高于尾侧邻近节段（P＜0.05），其中27例（22.2%）需2次翻修手术。结论：颈椎前路融合术后可导致颈椎相邻节段的退变。
目的：探討頸椎前路減壓融閤術後相鄰節段退變的因果關繫。方法：對237例患者行前路椎間節段減壓植骨融閤術（87例)，椎體次全切除減壓植骨融閤術（109例)，椎間節段減壓、椎體次全切除減壓植骨融閤術（41例)。通過影像學檢查，觀察不同手術方法術後相鄰節段退變髮生情況。結果：術後隨訪時間2.6~13年，平均6.8年；髮生相鄰節段明顯退變的120例（50.6%），頭側相鄰節段退變髮生率明顯高于尾側鄰近節段（P＜0.05），其中27例（22.2%）需2次翻脩手術。結論：頸椎前路融閤術後可導緻頸椎相鄰節段的退變。
목적：탐토경추전로감압융합술후상린절단퇴변적인과관계。방법：대237례환자행전로추간절단감압식골융합술（87례)，추체차전절제감압식골융합술（109례)，추간절단감압、추체차전절제감압식골융합술（41례)。통과영상학검사，관찰불동수술방법술후상린절단퇴변발생정황。결과：술후수방시간2.6~13년，평균6.8년；발생상린절단명현퇴변적120례（50.6%），두측상린절단퇴변발생솔명현고우미측린근절단（P＜0.05），기중27례（22.2%）수2차번수수술。결론：경추전로융합술후가도치경추상린절단적퇴변。
Objective To investigate the result of anterior cervical decompression and fusion of adjacent segment degeneration after causality. Methods among 237 patients(87 cases) weretreated with anterior decom-pression and interbody fusion intervertebral segments, 109cases with subtotal excision of the vertebral body with decompression and interbody fusion,and 41 cases with intervertebral segmental decompression, vertebral body subtotal resection decompression and interbody fusion.By imaging examination, different surgical methods and postoperative adjacent segment degeneration were observed. Results Postoperative follow-up at time of 2.6~13 years, averaging 6.8 years; showed significantly degeneration of adjacent segments in 120 cases (50.6%), the cranial adjacent segment degeneration rate significantly higher than that of the caudal adjacent segment (P<0.05), among them,27 cases (22.2%)needed 2 times of revision surgery. Conclusion The anterior cervical fu-sion surgery can lead to cervical vertebral adjacent segment degeneration.
