颈前路手术治疗多节段颈椎间盘突出症的临床疗效观察  

Clinical observation of therapeutic effect of anterior cervical operation in multi-segmental cervical disc herniation

作　　者：张坤和 黄黎 王理德 

机构地区：[1]广东省江门市新会中医院,广东江门529100

出　　处：《中国医药科学》2015年第4期152-154,共3页China Medicine And Pharmacy

摘　　要：目的探讨多节段颈椎间盘突出症的颈前路手术临床疗效。方法选取我院诊断为多节段颈椎间盘突出症且行颈前路手术的患者39例,行椎体次全切除,髂骨植骨联合前路接骨板内固定术。术前和术后末次随访时进行JOA评分,测量术前、术后1周及末次随访时标准侧位X片上Cobb角、融合节段椎体前缘高度(HAB)、融合节段椎体后缘高度(HPB)。结果术前JOA评分为(8.09±2.20)分,末次随访时JOA评分为(14.98±2.01)分,(P<0.05),其中优25例,良8例,中5例,差1例,优良率为84.6%。术后1周时的Cobb角、HAB和HPB较术前有显著差异(P<0.01),术后末次随访时的Cobb角、HAB和HPB相较于术前同样差异显著(P<0.05)。结论经前路手术治疗多节段颈椎间盘突出效果明显,是首选的治疗方案。Objective To study the clinical effect of anterior cervical operation in multi-segmental cervical disc herniation. Methods 39 patients with multi-segmental cervical disc herniation were treated with anterior cervical operation, anterior subtotal vertebraectomy, iliac bone graft combined internal fixation of anterior bone plates. To mensurate JOA scores at preoperative and final follow-up postoperative, to mensurate Cobb angle of normal lateral X-ray film, height of anterior border of fused segment（HAB）, and height of posterior border of fused segment（HPB）at preoperative, one week postoperative, and final follow-up postoperative. Results JOA scores were（8.09±2.20）and（14.98±2.01）at preoperative and final follow-up postoperative（P〈0.05）, the excellent and good rate was 84.6%, with excellent in 25 cases, well in 8 cases, medium in 5 cases, and bad in 1 case. The differences of Cobb angle, HAB, and HPB of one week postoperative compared with which of preoperative all had statistical significance（P〈0.01）, the differences of Cobb angle, HAB, and HPB of final follow-up postoperative compared with which of preoperative all had statistical significance（P〈0.05）. Conclusion Anterior cervical operation in multi-segmental cervical disc herniation has statistical effect, is the first treatment methods.

关 键 词：颈椎间盘突出症 颈前路手术 骨板 内固定 

分 类 号：R687.3[医药卫生—骨科学]