局解手术学杂志
跼解手術學雜誌
국해수술학잡지
JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY
2014年
3期
262-264,265
,共4页
前路减压%脊柱融合术%椎体次全切%颈椎
前路減壓%脊柱融閤術%椎體次全切%頸椎
전로감압%척주융합술%추체차전절%경추
anterior decompression%spinal fusion%corpectomy%cervical corpectomy
目的：比较前路椎间盘切除植骨融合并钛板置入内固定术（ ACDF)及前路椎体次全切除植骨融合并钛板置入内固定术（ ACCF)对相邻双节段脊髓型颈椎病的疗效。方法选择我院收治的76例双节段脊髓型颈椎病患者作为研究对象,将其随机分为ACCF组和ACDF组,观察2组患者围手术期相关指标、脊髓功能、颈椎正侧位和屈伸动力位X线片检查,记录Cobb’ s角及融合节段高度并评价植骨融合情况。结果2组患者手术相关指标结果显示,ACDF组患者的手术时间、出血量、住院时间等指标明显优于ACCF组（P<0.05),2组患者的植骨融合率均为100%；2组患者术后融合节段高度无显著差异,P>0.05；ACDF组在术后Cobb’s角改善程度明显优于ACCF组（P<0.05)。结论 ACCF和ACCG治疗双节段脊髓型颈椎病效果比较满意,其中ACDF具有手术时间短、出血量少、融合节段Cobb’ s角改善程度明显及并发症少等优点。
目的：比較前路椎間盤切除植骨融閤併鈦闆置入內固定術（ ACDF)及前路椎體次全切除植骨融閤併鈦闆置入內固定術（ ACCF)對相鄰雙節段脊髓型頸椎病的療效。方法選擇我院收治的76例雙節段脊髓型頸椎病患者作為研究對象,將其隨機分為ACCF組和ACDF組,觀察2組患者圍手術期相關指標、脊髓功能、頸椎正側位和屈伸動力位X線片檢查,記錄Cobb’ s角及融閤節段高度併評價植骨融閤情況。結果2組患者手術相關指標結果顯示,ACDF組患者的手術時間、齣血量、住院時間等指標明顯優于ACCF組（P<0.05),2組患者的植骨融閤率均為100%；2組患者術後融閤節段高度無顯著差異,P>0.05；ACDF組在術後Cobb’s角改善程度明顯優于ACCF組（P<0.05)。結論 ACCF和ACCG治療雙節段脊髓型頸椎病效果比較滿意,其中ACDF具有手術時間短、齣血量少、融閤節段Cobb’ s角改善程度明顯及併髮癥少等優點。
목적：비교전로추간반절제식골융합병태판치입내고정술（ ACDF)급전로추체차전절제식골융합병태판치입내고정술（ ACCF)대상린쌍절단척수형경추병적료효。방법선택아원수치적76례쌍절단척수형경추병환자작위연구대상,장기수궤분위ACCF조화ACDF조,관찰2조환자위수술기상관지표、척수공능、경추정측위화굴신동력위X선편검사,기록Cobb’ s각급융합절단고도병평개식골융합정황。결과2조환자수술상관지표결과현시,ACDF조환자적수술시간、출혈량、주원시간등지표명현우우ACCF조（P<0.05),2조환자적식골융합솔균위100%；2조환자술후융합절단고도무현저차이,P>0.05；ACDF조재술후Cobb’s각개선정도명현우우ACCF조（P<0.05)。결론 ACCF화ACCG치료쌍절단척수형경추병효과비교만의,기중ACDF구유수술시간단、출혈량소、융합절단Cobb’ s각개선정도명현급병발증소등우점。
Objective To investigate the effect of anterior cervical discectomy and interbody fusion ( ACDF) combined with titanium plate fixation technique and subtotal vertebrectomy and fusion and titanium plate internal fixation operation ( ACCF) on adjacent segmental cervical spondylotic myelopathy. Methods 76 patients with double segment spondylotic cervical myelopathy were randomly divided into AC-CF group and ACDF group,the relevant indicators of operation period,spinal cord function,anteroposterior and lateral of cervical spine and flexion-extension dynamic radiographs were observed,the Cobb’ s angle and fusion segmental height and bone fusion were recorded. Results The operation related index results showed that the operation time,bleeding volume and hospitalization time of patients in ACDF were less than those in ACCF group (P< 0. 05). The bone graft fusion rate of two groups was 100%. There was no significant differences in postopera-tive fusion segment height between two groups (P> 0. 05). The postoperative Cobb’s angle degree of ACDF group is better than that of AC-CF group (P<0. 05). Conclusion The effect of ACCF and ACCF on the treatment of two-level CSM were satisfactory,of which ACDF has the advantages of short operation time,less bleeding,fusion segments of Cobb’ s angle and fewer complications.
