颈椎前路减压钛网加带锁钢板内固定术治疗颈椎伤病的临床观察  

Clinical observation of anterior cervical decompression and titanium mesh with locking plate fixation for treatment of cervical spondylosis

作　　者：邵伟伟 龙亨国 王庆丰 Shao Weiwei;Long Hengguo;Wang Qingfeng(Department of Spinal Surgery,Zhoushan Hospital of Traditional Chinese Medicine,Zhoushan,Zhejiang 316000,China)

机构地区：[1]舟山市中医院脊柱科,浙江省舟山316000

出　　处：《中国基层医药》2018年第21期2750-2753,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨颈椎前路减压钛网加带锁钢板内固定术治疗颈椎伤病的临床疗效。方法选择2015年1月至2016年1月舟山市中医院收治的颈椎伤病患者58例为研究对象，采用随机数字表法分为两组，对照组29例，采取颈椎前路减压自体髂骨移植加带锁钢板内固定术；观察组29例，采取颈椎前路减压钛网加带锁钢板内固定术。记录两组手术时间、手术出血量及术后并发症发生情况，术后随访1年，采用日本骨科协会评估治疗（JOA）评分标准对患者神经功能恢复情况进行评定，并比较两组植骨融合率。结果观察组手术时间为（80.12±5.13）min，手术出血量为（61.45±3.75）mL，均显著少于对照组，差异均有统计学意义（t＝2.956、2.254，均P〈0.05）；观察组术后并发症发生率为6.90%，显著低于对照组的24.14%，差异有统计学意义（χ^2＝8.540，P〈0.05）；观察组术后JOA评分为（88.95±10.41）分，显著高于对照组的（82.11±7.03）分，差异有统计学意义（t＝2.192，P〈0.05）；术后随访1年，观察组植骨融合率为96.55%（28/29），对照组93.10%（27/29），两组植骨融合率差异无统计学意义（χ^2＝2.862，P＝0.090）。结论颈椎前路减压钛网加带锁钢板内固定术治疗颈椎伤病的疗效较好，具有创伤小、骨性融合率高的优点。Objective To investigate the clinical effect of anterior cervical decompression and titanium mesh with locking plate fixation in the treatment of cervical spondylosis.Methods From January 2015 to January 2016, 58 patients with cervical spondylosis in Zhoushan Hospital of Traditional Chinese Medicine were selected and randomly divided into two groups, with 29 cases in each group.The control group received the anterior cervical decompression and autogenous iliac bone graft with locking plate fixation.The observation group received anterior cervical decompression and titanium mesh with locking plate fixation.The operation time, bleeding volume and postoperative complications were recorded in the two groups.The patients were followed up for 1 year after operation, the recovery of neurological function was evaluated by JOA standard, and the bone graft fusion rate was compared between the two groups.Results The operation time, blood loss of the observation group were （80.12±5.13）min, （61.45±3.75）mL, respectively, which were significantly less than those of the control group, the differences were statistically significant （t=2.956, 2.254, all P〈0.05）. The incidence rate of postoperative complications in the observation group was 6.90%, which was significantly lower than 24.14% in the control group, the difference was statistically significant （χ^2=8.540, P〈0.05）. The postoperative JOA score of the observation group was （88.95±10.41）points, which was significantly higher than （82.11±7.03）points of the control group, the difference was statistically significant （t=2.192, P〈0.05）. After 1 year follow-up, the fusion rate of the observation group was 96.55%（28/29）, which of the control group was 93.10%（27/29）, the difference was not statistically significant （χ^2=2.862, P=0.090）.Conclusion Anterior cervical decompression and titanium mesh with locking plate fixation in the treatment of cervical spine injury has good curative effect, and has the advantages of small trauma an

关 键 词：颈椎伤病 前路 减压 钛网 内固定器 出血量 并发症 

分 类 号：R687.3[医药卫生—骨科学]