颈椎Cage植骨融合术在颈椎间盘病变中的应用研究  

Application of cervical Cage bone graft fusion to cervical intervertebral disc lesion

作　　者：荆兴泉[1] 杨双石[1] 龙跃兵[1] 

机构地区：[1]解放军188医院骨科,广东潮州521000

出　　处：《西南国防医药》2013年第3期277-279,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的对比颈椎Cage植骨融合术与植骨钛板内固定术在颈椎间盘病变中的治疗效果。方法选择我院收治的颈椎间盘突出症患者共56例,根据患者治疗方式不同分为颈椎Cage植骨融合术治疗的观察组及植骨钛板内固定术治疗的对照组,每组28例,对比两组术中情况、手术前后JOA评分、椎体融合率、术后症状缓解率及并发症发生情况。结果观察组手术时间、术中出血及取髂骨时间均显著低于对照组(P<0.05);两组患者术后3个月、12个月的JOA评分均显著优于术前(P<0.05)。观察组患者症状缓解率显著优于对照组(P<0.05),而对照组术后并发症发生率显著高于观察组(P<0.05)。结论 Cage植骨融合术手术时间短、术中出血少、症状缓解率高,且术后并发症少,值得临床推广。Objective To make comparison of curative effects between cervical Cage bone graft fusion and internal fixation by titanium plate grafting on cervical intervertebral disc lesion. Methods Fifty six patients with protrusion of cervical intervertebral disc were selected and divided into observation group that received the treatment by cervical Cage bone graft fusion and control group that received the internal fixation by titanium plate grafting with 28 patients in each group. Comparison was made in the conditions during the operation,JOA score before and after the operation, cervical vertebral fusion rate, symptom relief rate after the operation, and the incidence of complications between the two groups. Results The operation time and the time of iliac removing in the observation group were significantly shorter than those in the control group （ P 〈 0.05 ）, and the intraoperative bleeding in the observation group was significantly lower than that in the control group（P 〈0.05 ）. The JOA scores of the two groups in 3 and 12 months after the operation were significantly better than those before the operation（P 〈 0.05 ）. The symptom relief rate of the observation group was significantly higher than that of the control group （ P 〈 0.05 ）. The incidence of complications in the control group was higher than that in the observation group （ P 〈 0.05 ）. Conclusion Cage bone graft fusion has shorter operative time, less intraoperative bleeding, higher symptom relief rate, and less postoperative complications and is worthwhile to be clinically promoted.

关 键 词：颈椎间盘突出 Cage植骨融合术 钛板内固定术 疗效 

分 类 号：R681.53[医药卫生—骨科学]