CAJ | 학술논문

目的：探讨选择性经前路颈椎间盘切除减压、植骨融合内固定联合临近节段射频消融、臭氧盘内注射微创介入治疗多节段颈椎间盘突出症的临床疗效。方法2010-01-2011-12我院采用选择性减压植骨融合内固定联合微创介入治疗多节段颈椎间盘突出症15例，通过术前查体结合影像学资料确定主次要病变节段，选择性经前路切除主要病变节段椎间盘、椎体次全切除、椎间植骨或钛网植骨融合、钛板内固定术，术中同时对次要病变节段的颈椎间盘行射频消融、臭氧盘内注射等微创介入术。采用JOA评分和贾连顺评定法进行临床疗效评定。结果至末次随访JOA评分为（15.60±0.82）分，与术前比较差异有统计学意义（P<0.05)。结论选择性减压植骨融合内固定联合微创介入是治疗多节段颈椎间盘突出症的确实有效的术式，中短期随访临床疗效显著。
목적：탐토선택성경전로경추간반절제감압、식골융합내고정연합림근절단사빈소융、취양반내주사미창개입치료다절단경추간반돌출증적림상료효。방법2010-01-2011-12아원채용선택성감압식골융합내고정연합미창개입치료다절단경추간반돌출증15례，통과술전사체결합영상학자료학정주차요병변절단，선택성경전로절제주요병변절단추간반、추체차전절제、추간식골혹태망식골융합、태판내고정술，술중동시대차요병변절단적경추간반행사빈소융、취양반내주사등미창개입술。채용JOA평분화가련순평정법진행림상료효평정。결과지말차수방JOA평분위（15.60±0.82）분，여술전비교차이유통계학의의（P<0.05)。결론선택성감압식골융합내고정연합미창개입시치료다절단경추간반돌출증적학실유효적술식，중단기수방림상료효현저。
Objective To evaluate the clinical effect of selective anterior cervical decompression and bone graft fusion combined with radiofrequency ablation and ozone injection in the treatment of multi-segment cervical disc herniation. Methods A retrospective follow-up was made in 15 cases of multi-segment cervical disc herniation treated by selective anterior cervical decompression and bone graft fusion combined with radiofrequency ablation and ozone injection in our hospital from January 2010 to December 2011. The primary and secondary pathological changes section were de-termined by preoperative examination combined with imaging data. To the primary changes section, selectivity by segmental anterior resection of total excision of the intervertebral disc,vertebral body and intervertebral bone graft or titanium net bone graft fusion and titanium plate fixation was used. Radiofrequency ablation and ozone injection was used to the secondary pathological changes section during operation. The pre-and postoperation conditions were evaluated by JOA scores. Results Pre-operative JOA score (7.80 ±1.50) points rose to (15.60 ±0.82) at the end of the follow-up time. Compared with preoperation, the difference was statistically significant (P<0.05). Conclusion Treatment of multi-segment cervical disc herniation by selective anterior cervical decompression and bone graft fusion combined with radiofrequency ablation and ozone injection is effective, and the medium-term follow-up clinical curative effect is distinct.