中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
26期
4260-4264
,共5页
植入物%人工假体%人工颈椎间盘%假体%颈椎病%椎间盘突出症%外科治疗
植入物%人工假體%人工頸椎間盤%假體%頸椎病%椎間盤突齣癥%外科治療
식입물%인공가체%인공경추간반%가체%경추병%추간반돌출증%외과치료
cervical spondylosis%intervertebral disk%prostheses and implants
背景：目前人工颈椎间盘假体设计和使用都得到了很大的发展，主要有低磨擦滑动面、弹簧系统、橡胶制成的人工颈椎间盘及其他各种弹性假体。目的：总结人工颈椎间盘假体结构特点及在骨科的应用现状。方法：由第一作者以“人工颈椎间盘；假体；椎间盘突出症”和“Artificial Cervical Disc；prosthesis；intervertebral disc herniation；the surgical therapy”为关键词，分别在CNKI(2000至2013年)和PubMed数据库(1960至2013年)http：//www.ncbi.nlm.nih.gov/PubMed)检索近年文献，检索内容为人工颈椎间盘假体在骨科的应用。计算机在CNKI数据库检索出200篇文献，在PubMed数据库检索出56篇文献，阅读标题和进行筛选，保留符合纳入标准的40篇归纳总结。结果与结论：人工颈椎间盘假体类似椎间盘生理功能，材料具有耐磨损、耐疲劳、抗腐蚀等特点，它类似于人体椎间盘的生理和生物力学载荷功能，保持了脊柱的稳定和运动功能，避免了邻近节段的退变加速。文章重点对Bryan、Mobi-C、PCM、Prodisc-C、Prestige及CerviCore人工颈椎间盘结构做了介绍。人工颈椎间盘置换的短期疗效已得到认可，但是它不能完全替代颈前路植骨融合内固定，是治疗颈椎退变性椎间盘疾病的又一主要手段。
揹景：目前人工頸椎間盤假體設計和使用都得到瞭很大的髮展，主要有低磨抆滑動麵、彈簧繫統、橡膠製成的人工頸椎間盤及其他各種彈性假體。目的：總結人工頸椎間盤假體結構特點及在骨科的應用現狀。方法：由第一作者以“人工頸椎間盤；假體；椎間盤突齣癥”和“Artificial Cervical Disc；prosthesis；intervertebral disc herniation；the surgical therapy”為關鍵詞，分彆在CNKI(2000至2013年)和PubMed數據庫(1960至2013年)http：//www.ncbi.nlm.nih.gov/PubMed)檢索近年文獻，檢索內容為人工頸椎間盤假體在骨科的應用。計算機在CNKI數據庫檢索齣200篇文獻，在PubMed數據庫檢索齣56篇文獻，閱讀標題和進行篩選，保留符閤納入標準的40篇歸納總結。結果與結論：人工頸椎間盤假體類似椎間盤生理功能，材料具有耐磨損、耐疲勞、抗腐蝕等特點，它類似于人體椎間盤的生理和生物力學載荷功能，保持瞭脊柱的穩定和運動功能，避免瞭鄰近節段的退變加速。文章重點對Bryan、Mobi-C、PCM、Prodisc-C、Prestige及CerviCore人工頸椎間盤結構做瞭介紹。人工頸椎間盤置換的短期療效已得到認可，但是它不能完全替代頸前路植骨融閤內固定，是治療頸椎退變性椎間盤疾病的又一主要手段。
배경：목전인공경추간반가체설계화사용도득도료흔대적발전，주요유저마찰활동면、탄황계통、상효제성적인공경추간반급기타각충탄성가체。목적：총결인공경추간반가체결구특점급재골과적응용현상。방법：유제일작자이“인공경추간반；가체；추간반돌출증”화“Artificial Cervical Disc；prosthesis；intervertebral disc herniation；the surgical therapy”위관건사，분별재CNKI(2000지2013년)화PubMed수거고(1960지2013년)http：//www.ncbi.nlm.nih.gov/PubMed)검색근년문헌，검색내용위인공경추간반가체재골과적응용。계산궤재CNKI수거고검색출200편문헌，재PubMed수거고검색출56편문헌，열독표제화진행사선，보류부합납입표준적40편귀납총결。결과여결론：인공경추간반가체유사추간반생리공능，재료구유내마손、내피로、항부식등특점，타유사우인체추간반적생리화생물역학재하공능，보지료척주적은정화운동공능，피면료린근절단적퇴변가속。문장중점대Bryan、Mobi-C、PCM、Prodisc-C、Prestige급CerviCore인공경추간반결구주료개소。인공경추간반치환적단기료효이득도인가，단시타불능완전체대경전로식골융합내고정，시치료경추퇴변성추간반질병적우일주요수단。
BACKGROUND:The design and use of artificial cervical disc prosthesis have great development, such as rubber-made artificial cervical disc with low-friction sliding surface and spring system, and other various elastic prostheses. OBJECTIVE:To summarize structural characteristics and present application of artificial cervical disc prosthesis. METHODS:The first author searched CNKI (2000-2013) and PubMed databases (1960-2013) http://www.ncbi.nlm.nih.gov/PubMed for literatures on application of artificial cervical disc prosthesis. The key words included artificial cervical disc, prosthesis, intervertebral disc herniation, the surgical therapy. 200 literatures and 56 literatures were respectively searched in CNKI and the PubMed. Titles and abstracts were read. A total of 40 literatures were in accordance with inclusion criteria and included. RESULTS AND CONCLUSION:Artificial cervical disc prosthesis was consistent with physiological functions of intervertebral disk. The material is characterized by abrasion, fatigue resistance and corrosion resistance, is similar to physiological and biomechanical function of human disc, maintains the stability of the spine and motor function, and avoids the accelerated degeneration of adjacent segments. Articles mainly introduced the structure of Bryan, Mobi-C, PCM, Prodisc-C, Prestige and CerviCore artificial cervical disc. Short-period therapeutic effects of artificial cervical disc replacement have obtained approval. However, it cannot completely replace anterior cervical fusion, but is another manner to treat cervical degenerative disc disease.
