多节段混合手术与传统颈椎前路减压融合术治疗颈椎病的临床疗效观察  

Compare the Clinical Performance of Hybrid Surgery and ACDF in Multilevel Cervical Degenerative Disc Disease

作　　者：卢海川[1] 吴益奇[1] 卢照应[1] 

机构地区：[1]福建省龙岩市第一医院脊柱外科,364000

出　　处：《中国卫生标准管理》2015年第29期66-68,共3页China Health Standard Management

摘　　要：目的评估多阶段混合式手术（颈椎人工间盘置换结合颈椎椎间融合Hybrid手术）治疗颈椎多阶段椎间盘退变（DDD）的临床疗效。方法回顾性分析2008年12月~2010年6月共17例因颈椎病行双节段Hybrid手术患者（Hybrid组）的临床资料,选取同期行颈椎前路减压融合手术（ACDF）的21例患者作为对照（ACDF组）。对两组患者术前、术后1、3、6个月的JOA、VAS、颈椎功能障碍指数评分（NDI）、颈椎整体活动度、手术相邻颈椎节段活动度等结果进行对照评价。结果 ACDF组术后颈椎相邻节段活动度术后3、6个月时下位相邻节段颈椎活动度较术前升高,差异有统计学意义（t=-7.038和-13.540,P〈0.05）,术后6个月时上位相邻节段颈椎活动度较术前升高,差异有统计学意义（t=-2.453,P〈0.05）。结论 Hybrid手术对于治疗多节段颈椎间盘退变是安全、有效的,并且能够减少相邻节段退变的发生。Objective In the present study, we evaluated the effect, safety and radiological outcomes of cervical hybrid surgery（cervical disc prosthesis re-placement at one level, and interbody fusion at the other level） on the multilevel cervical degenerative disc disease（DDD）. Methods From December 2008 to June 2010,38 patients underwent Multilevel cervical disc surgery.There were 17 patients underwent Hybrid surgery（Hybrid group）,21 patients underwent 2-level ACDF（ACDF group）.Japanese orthopaedic association（JOA） neck disability index（NDI）.And Odom＇S standards were evaluated.Dynamic flexion and extension lateral cervical radiographs were obtained in the standing position before surgery and at routine postoperative intervals of 1,3 and 6 months. Results Both of the two groups had significantly improvement than preoperative in NDI scores（t=-7.038 和-13.540,P 0.05）in 3and 6months,but no significantly difference between the two groups（P 0.05）.6 months later NDI had significantly improvement（t=-2.453,P 0.05）.Conclusion Hybrid surgery is a safe and effective alternative to fusion for the management of multilevel cervical spondylosis.

关 键 词：多节段 颈椎病 前路混合式手术 

分 类 号：R687.3[医药卫生—骨科学]