Bryan人工颈椎间盘置换近期疗效分析  

Analysis of early complications of Bryan cervical disc arthroplasty

作　　者：韩慧[1] 董荣华[1] 曹富江[1] 

机构地区：[1]天津泰达医院

出　　处：《中国矫形外科杂志》2009年第15期1152-1154,共3页Orthopedic Journal of China

摘　　要：[目的]分析人工颈椎间盘置换术的近期疗效及其并发症并分析其原因。[方法]2006年6月～2007年12月，对60例患者的73个节段进行了Bryan人工颈椎间盘置换术，男33例，女27例；年龄33～54岁，平均43．3岁。[结果]全部病例随访13个月～2年，所有患者术后症状明显改善，术中术后没有发生血管和神经损伤并发症，1例神经根型患者术后根性疼痛缓解不明显，可能与术中减压不彻底有关，患者拒绝再次手术，给予保守治疗效果不佳。脊髓型颈椎病患者术前JOA评分为（8．34±1．22）分，末次随访时为（16．11±1．01）分，与术前比较差异有显著性（P〈0．01）。颈痛视觉评分VAS、上肢疼痛视觉评分、颈部功能异常评分指标（neck disability index，NDI）均与术前有显著性差异（P〈0．05）。1例术后1年随访时发现假体周围异位骨化形成，2年随访时出现自发融合。[结论]人工颈椎间盘置换治疗颈椎间盘疾患可取得较好的临床疗效，但手术操作复杂，有其特有的并发症，应重视手术适应证的选择及严格手术操作规范。[ Objective] To explore the cause of the early complications of Bryan cervical disc arthroplasty and summarize the prevention experience. [ Methods ] From June 2006 to December 2007, 60 patients （33 males and27 females） with 73 levels underwent Bryan cervical disc placement. The average age was 43.3 years （ range, 33 -54 years） . [Results] One ease complained of persistent arm pain because of incomplete decompression and was treated by dehydration, but the pain was still present. The average period of follow - up was 15.6 months, JOA scores were improved from 8.34 ± 1.22 points to 16. 11 ± 1.01 points （P 〈 0. 01 ） . One case showed heterotopic ossification in I year and developed spontaneous fusion in 2 years after operation. [ Conclusion ] The Byran disc arthroplasty for cervical spondylosis can get good clinical outcomes, but the procedure is much complicated and has its special complications, so the surgical indications and correct manipulations should be chosen properly.

关 键 词：人工颈椎间盘 颈椎病 置换 并发症 

分 类 号：R687.3[医药卫生—骨科学]