颈椎Zero-P与传统颈椎前路内固定治疗颈椎病的对比研究  

Comparative study of Zero-P and traditional anterior cervical spine fixation

作　　者：曾昭勇[1] 魏鲁青[1] 张健平[1] 

机构地区：[1]佛山市第一人民医院骨一科,广东佛山528000

出　　处：《临床和实验医学杂志》2016年第10期1010-1013,共4页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨颈椎Zero-P与传统颈椎前路内固定术治疗神经根型、脊髓型型颈椎病的临床疗效。方法回顾性纳入分析2010年12月至2014年12月接受颈椎椎间盘切除、融合内固定的56例患者。对照组28例实施传统颈椎前路内固定术,行传统前路椎间盘切除椎间融合(ACD)与钢板内固定;观察组28例采取颈椎Zero-P内固定,行前路椎间盘切除与Zero-P内固定。分别对治疗前后两组患者进行颈椎生理曲度、视觉模拟评分法(VAS)疼痛评分对其疗效进行评估,观察两组患者的手术时间、刀口引流量、手术出血量,观察Cobb's角及伤椎高度进行评估,并进行半年随访,采用神经功能评价按照ASIA评分法比较两组病例的神经功能恢复情况。结果两组患者手术时间、手术出血、切口引流量、围手术期红蛋白的丢失等方面指标比较观察组要优于对照组,差异具有统计学意义(P<0.05);两组患者治疗后颈椎生理曲度值较治疗前均有显著改善,且观察组颈椎生理曲度的改善优于对照组(P<0.05);治疗后观察组的VAS评分均明显低于对照组(P<0.05);经过治疗1个月后观察组患者Cobb's角及伤椎高度、神经功能恢复等各项指标均优于对照组,差异有统计学意义(P<0.05)。结论颈椎Zero-P治疗颈椎病操作简单,手术时间短,刀口引流量、术中出血量少,患者的颈椎生理曲度及镇痛疗效均得到了很大的改善。Objective Contract the clinical efficacy of treatment of Zero- P cervical fixation in cervical spondylotic myelopathy（ CSM）and cervical spondylotic radiculopathy（ CSR） with that of traditional anterior cervical spine surgery. Methods 56 patients with cervical discectomy in our hospital from December 2010 to December 2014 were retrospectively analyzed. 28 cases（ control group） performed traditional anterior cervical fixation,row traditional anterior discectomy and interbody Fusion（ ACD） fixed with the inner plate; 28 cases（ observation group） accepted anterior discectomy fixed with Zero- P. Patients＇ cervical lordosis before and after treatment,VAS（ visual analogue scale） pain scores were assessed. Operation time,incision drainage,bleeding volume,Cobb＇s angle and vertebral height were observed. After six months＇ follow- up, neurological evaluation was performed using neural function score according to ASIA case of recovery. Results The operative time,blood loss,wound drainage, perioperative hemoglobin loss and other aspects of indicators in observation group were supervisor than these of the control group,and the differences were statistically significant（ P〈0. 05）. Patients＇ cervical lordosis values after treatment in both groups were significantly improved than before treatment,and the improvement of the observation group cervical lordosis is better than the control group（ P〈0. 05）. VAS scores in observation group after treatment were significantly lower than the control group（ P〈0. 05）. In a month after treatment,results of the observation group patients＇ Cobb＇s angle and vertebral height,neurological function and other indicators are better than those of the control group,which was statistically significantly different between the two groups（ P〈0. 05）. Conclusion The performance of Zero- P system operation is simple. It can short operation time,decrease incision drainage and the loss of blood loss. Cervical lordosis and analgesic efficacy have been gr

关 键 词：颈椎病 颈椎生理曲度 颈椎Zero-P 颈椎前路内固定术 镇痛效果 

分 类 号：R687.3[医药卫生—骨科学]