ACDR和ACDF治疗单节段颈椎间盘突出症的对比分析  

Comparative analysis of ACDR and ACDF in the treatment of single segmental cervical intervertebral disc herniation

作　　者：黄长安[1] 李军[1] 袁文旗[1] 周立[1] 

机构地区：[1]周口市中心医院骨一科,河南466000

出　　处：《中国临床新医学》2015年第12期1175-1177,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的对比分析颈椎前路椎间盘切除植骨融合术（ACDF）和颈椎人工椎间盘置换术（ACDR）治疗单节段颈椎间盘突出症的疗效。方法选择2010-01～2014．06该院收治的单节段颈椎间盘突出症的患者81例，其中接受ACDF手术的患者40例（融合组），接受ACDR手术的患者41例（置换组），比较两组在术前、末次随访后活动度的改善情况。结果两组患者在末次随访时活动度比较差异有统计学意义（P〈0．01），各组内末次随访和手术前比较差异有统计学意义（P〈0．01）。结论ACDR和ACDF治疗单节段颈椎间盘突出症均能改善颈椎椎间盘突出的活动度，ACDR还可以使手术邻近段的代偿性活动度增加。Objective To compare the effect of anterior cervical discectomy and interbody fusion （ACDF） and artificial cervical disc replacement（ACDR） in the treatment of single segmental cervical disc herniation. Methods A total of 81 patients with single segmental cervical disc herniation were collected in our hospital from January 2010 to June 2014, in which 40 patients received ACDF surgery（fusion group） and other 41 patients underwent ACDR sur- gery （pernutation group）. The changes of activity were compared between the two groups before and the last follow-up after the surgery. Results There were significant differences in the changes of activity between the two groups at the last time of follow-up after the surgery（P 〈0. 01）. For each group, the activity improved at the end of the follow-up compared with that before the surgery （P 〈 0.01 ）. Conclusion Both ACDR and ACDF are effective in the treatment of single segmental cervical disc herniation, which improves the activity of cervical disc herniation. ACDR also makes the surgery adjacent segments of the compensatory activity increased, and therefore may prevent adjacent segment de- generation.

关 键 词：颈椎人工椎间盘置换术 颈椎前路椎间盘切除植骨融合术 单节段颈椎间盘突出症 对比分析 

分 类 号：R681[医药卫生—骨科学]