郑州大学学报（医学版）
鄭州大學學報（醫學版）
정주대학학보（의학판）
JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES)
2015年
5期
710-713
,共4页
颈椎病%颈前路钢板%镍钛记忆合金%记忆加压固定器
頸椎病%頸前路鋼闆%鎳鈦記憶閤金%記憶加壓固定器
경추병%경전로강판%얼태기억합금%기억가압고정기
cervical spondylosis%anterior cervical plate%nickel-titanium memory alloy%memory compression fixator
目的：观察GYZ型颈前路记忆加压固定器在颈前路手术中的疗效。方法：选择单节段或跨节段颈椎病患者70例，分为2组，A组35例行ACDF＋GYZ固定器固定，B组35例行ACDF＋前路常规钢板固定。比较2组患者术中出血量、手术时间、JOA评分、VAS评分、融合时间、病变椎间隙高度、Cobb角，分析A组治疗后固定枝距离的变化。结果：A组融合时间、手术时间及住院时间较B组短，术中出血量较B组少（ t ＝7．592、6．273、3．693、9．512，P均＜0．05）；术后A组病变椎间隙高度和Cobb角均较B组明显改善（P均＜0．05）；A组治疗后各时间点固定枝距离比较差异有统计学意义（F＝858．000，P＜0．001）。结论：GYZ型颈前路记忆加压固定器有利于植骨融合，能有效维持椎间高度，近期临床疗效可靠。
目的：觀察GYZ型頸前路記憶加壓固定器在頸前路手術中的療效。方法：選擇單節段或跨節段頸椎病患者70例，分為2組，A組35例行ACDF＋GYZ固定器固定，B組35例行ACDF＋前路常規鋼闆固定。比較2組患者術中齣血量、手術時間、JOA評分、VAS評分、融閤時間、病變椎間隙高度、Cobb角，分析A組治療後固定枝距離的變化。結果：A組融閤時間、手術時間及住院時間較B組短，術中齣血量較B組少（ t ＝7．592、6．273、3．693、9．512，P均＜0．05）；術後A組病變椎間隙高度和Cobb角均較B組明顯改善（P均＜0．05）；A組治療後各時間點固定枝距離比較差異有統計學意義（F＝858．000，P＜0．001）。結論：GYZ型頸前路記憶加壓固定器有利于植骨融閤，能有效維持椎間高度，近期臨床療效可靠。
목적：관찰GYZ형경전로기억가압고정기재경전로수술중적료효。방법：선택단절단혹과절단경추병환자70례，분위2조，A조35례행ACDF＋GYZ고정기고정，B조35례행ACDF＋전로상규강판고정。비교2조환자술중출혈량、수술시간、JOA평분、VAS평분、융합시간、병변추간극고도、Cobb각，분석A조치료후고정지거리적변화。결과：A조융합시간、수술시간급주원시간교B조단，술중출혈량교B조소（ t ＝7．592、6．273、3．693、9．512，P균＜0．05）；술후A조병변추간극고도화Cobb각균교B조명현개선（P균＜0．05）；A조치료후각시간점고정지거리비교차이유통계학의의（F＝858．000，P＜0．001）。결론：GYZ형경전로기억가압고정기유리우식골융합，능유효유지추간고도，근기림상료효가고。
Aim:To observe the clinical curative effects of GYZ type memory compression fixator in the cervical ante-rior surgery .Methods:A total of 70 patients with cervical spondylosis were randomly assigned into two groups , the GYZ group with GYZ fixator+cage(35 cases)(group A), and the anterior cervical plate group with anterior cervical plate +cage (35 cases)(group B).Intraoperative blood loss, operation time, JOA, VAS, intervertebral fusion time, the affecting ver-tebral intervertebral disc height and Cobb angle were detected .The changes of compression after operation in group A were observed.Results:The intervertebral fusion time, operation time, and hospital stay of group A were shorter than those of group B, and the intraoperative blood loss of group A was less than that of group B (t=7.592, 6.273, 3.693, 9.512, P<0.05).Compared with group B, the affecting vertebral intervertebral disc height and Cobb angle of group A were signifi -cantly improved(P<0.05).The compression at different time points after surgery in group A had statistical difference (F=858.000, P<0.001).Conclusion:GYZ type memory compression fixator is helpful to bone graft fusion and could maintain intervertebral height effectively .
