中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
7期
59-61
,共3页
脊柱%脊髓型颈椎病%脊柱融合%前路手术
脊柱%脊髓型頸椎病%脊柱融閤%前路手術
척주%척수형경추병%척주융합%전로수술
Spine cervical%Spondylotic myelopathy%Vertebral fusion%Anterior route operation
目的 观察分析三种颈椎前路手术治疗脊髓型颈椎病(CSM)的临床疗效.方法 将2009年1月至2011年11月青海大学附属医院手术治疗的71例CSM患者分为A、B、C三组.A组24例采用颈椎前路减压植骨钢板内固定术;B组27例采用颈前路减压cage植入植骨术;C组20例采用颈椎间盘切除减压、人工颈椎间盘植入术.术后定期随访及拍摄X线片,观察疗效、椎间高度、颈椎前弯曲度和植骨融合情况.结果 经过随访,A组融合率为95.3％,B组为95.4％,C组为97.8％.终止随访时三组比较差异无统计学意义(F=2.32,P＞0.05).A、B和C组远期疗效比较差异无统计学意义(F=2.23,P＞0.05).结论 脊髓型颈椎病的治疗关键不仅在于充分减压及有效植骨融合,而且不同融合技术对疗效有明显影响,脊髓型颈椎病根据受压部位、病变范围选用不同的三种手术方式均能达到有效的治疗.
目的 觀察分析三種頸椎前路手術治療脊髓型頸椎病(CSM)的臨床療效.方法 將2009年1月至2011年11月青海大學附屬醫院手術治療的71例CSM患者分為A、B、C三組.A組24例採用頸椎前路減壓植骨鋼闆內固定術;B組27例採用頸前路減壓cage植入植骨術;C組20例採用頸椎間盤切除減壓、人工頸椎間盤植入術.術後定期隨訪及拍攝X線片,觀察療效、椎間高度、頸椎前彎麯度和植骨融閤情況.結果 經過隨訪,A組融閤率為95.3％,B組為95.4％,C組為97.8％.終止隨訪時三組比較差異無統計學意義(F=2.32,P＞0.05).A、B和C組遠期療效比較差異無統計學意義(F=2.23,P＞0.05).結論 脊髓型頸椎病的治療關鍵不僅在于充分減壓及有效植骨融閤,而且不同融閤技術對療效有明顯影響,脊髓型頸椎病根據受壓部位、病變範圍選用不同的三種手術方式均能達到有效的治療.
목적 관찰분석삼충경추전로수술치료척수형경추병(CSM)적림상료효.방법 장2009년1월지2011년11월청해대학부속의원수술치료적71례CSM환자분위A、B、C삼조.A조24례채용경추전로감압식골강판내고정술;B조27례채용경전로감압cage식입식골술;C조20례채용경추간반절제감압、인공경추간반식입술.술후정기수방급박섭X선편,관찰료효、추간고도、경추전만곡도화식골융합정황.결과 경과수방,A조융합솔위95.3％,B조위95.4％,C조위97.8％.종지수방시삼조비교차이무통계학의의(F=2.32,P＞0.05).A、B화C조원기료효비교차이무통계학의의(F=2.23,P＞0.05).결론 척수형경추병적치료관건불부재우충분감압급유효식골융합,이차불동융합기술대료효유명현영향,척수형경추병근거수압부위、병변범위선용불동적삼충수술방식균능체도유효적치료.
Objective To observe the clinical effects of cervical spondylotic myelopathy and bone graft fusion by different methods for cervical spondylotic myelopathy.Methods Seventy-one cases of cervical spondylotic myelopathy were treated by cervical anterior decompression and bone graft fusion with three surgical procedures from January 2009 to November 2011.Twenty-four cases were treated by anterior cervical discectomy and bone grafting and fusion (group A),27 cases were treated by cervical anterior decompression bone grafting and internal fixation with steel plate (group B),20 cases were treated by anterior cervical decompression,titanium plate internal fixation(group C),cervical disc prosthesis implantation.X-ray films and regular follow-up were taken after operation to observe the curative effects,the interbody height,the cervical vertebra antecttrvature and the fusion of operative segments.Results According to the results of the follow-up,the fusion rates of A,B,C group were 95.3％,95.4％,97.8％.When the follow-up was over,while there was no such difference in A,B or C group (F =2.32,P ＞ 0.05),while there was no statistical significance in the differences among A,B or C group (F =2.23,P ＞ 0.05).Condusions The key point of the treatment of cervical spondylotic myclopathy lies in thorough decompression and effective bone graft fusion,furthermore,different techniques of fusion affect the curative effects significantly.
