颈前路减压融合内固定术治疗下颈椎损伤的疗效研究  

Clinical effect of anterior cervical decompression and fusion with internal fixation on lower cervical spine injury

作　　者：王宏[1] 

机构地区：[1]山西省晋中市第二人民医院骨科,030600

出　　处：《中国实用医刊》2015年第16期34-35,共2页Chinese Journal of Practical Medicine

摘　　要：目的：比较颈前路减压融合内固定术与颈后路减压植骨固定术治疗下颈椎损伤的疗效。方法以80例于晋中市第二人民医院接受手术治疗的下颈椎损伤患者为研究对象，随机均分为观察组与对照组，分别行颈前路减压融合内固定术与颈后路减压植骨固定术治疗。观察术中出血量、手术时间、术后并发症、手术前后寰齿前间隙、日本骨科协会评估治疗分数（JOA）、生存质量评分。结果观察组手术时间、术中出血量、并发症发生率均低于对照组。两组术前寰齿前间隙、JOA、生存质量各项评分接近，术后改善与术前比较差异有统计学意义（P ﹤0.05），且观察组各项指标均优于对照组，差异有统计学意义（P ﹤0.05）。结论颈前路减压融合内固定术治疗下颈椎损伤疗效显著，值得推广。Objective To compare the efficacy of anterior cervical decompression and fusion with internal fixation and posterior decompression and bone fixation on lower cervical spine injury. Methods Eighty patients underwent operation in the Second People’s Hospital of Jinzhong for treatment of lower cervical spine injury were selected as research objects. They were randomly divided into observation group and control group respectively,for anterior cervical decompression and fusion with internal fixation and posterior decompression and bone grafting and fixation. The bleeding volume,operation time,postoperative complications,the atlanto odontoid front clearance,JOA scores,quality of life score before and after operation were observed. Results The operation time,bleeding volume,postoperative complications incidence of the observation group were significantly lower than those in the control group. The two groups’preoperative atlanto odontoid front clearance,JOA,quality of life score were similar as that of before treatment;and the results improved significantly after operation than that before operation,there were significant differences（P ﹤0. 05）,and the indexes of the observation group were significantly better than those in the con-trol group,the differences were significant（P ﹤0. 05）. Conclusions The curative effect of anterior cervical decompression and fusion with internal fixation on cervical spine injury is significant,so it is worthy of promotion.

关 键 词：颈前路减压融合内固定术 颈后路减压植骨固定术 下颈椎损伤 脊髓损伤 

分 类 号：R681.5[医药卫生—骨科学]