新一代零切迹内固定系统治疗脊髓型颈椎病的早期疗效  

Early Effect of Zero-P VA In Cervical Spondylotic Myelopathy

作　　者：梁跃伟 张帆[1] 李全[1] 赵学凌[1] LIANG Yue-wei;ZHANG Fan;LI Quan;Zhao Xue-ling(Dept. of Orthopedics,First Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650000,China)

机构地区：[1]昆明医科大学第一附属医院骨科,云南昆明650000

出　　处：《昆明医科大学学报》2017年第6期113-117,共5页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81601939)

摘　　要：目的评价新一代零切迹内固定系统治疗脊髓型颈椎病的早期临床疗效.方法回顾性分析2013年06月至2015年06月在昆明医科大学第一附属医院采用新一代零切迹内固定系统行颈椎前路椎间盘切除减压融合术治疗脊髓型颈椎病的患者共29例,植入新一代零切迹内固定系统共33枚.通过手术时间及手术出血量、术后吞咽困难程度、颈椎Cobb角、视觉模拟评分、JOA评分、颈椎功能障碍指数等指标评估手术效果.结果29例患者随访时间12~24个月,平均(14.48±3.51)个月,随访期间没有出现患者失访或数据丢失情况,手术时间平均为(84.59±12.14)min,平均出血量(19.76±6.53)m L,所有患者术后均未发生吞咽困难,术后颈椎中立位Cobb角均比术前增大(P<0.05),术后末次随访视觉模拟评分均比术前明显降低(P<0.05),JOA评分均比术前升高(P<0.05),颈椎功能障碍指数均比术前降低(P<0.05).结论新一代零切迹内固定系统应用于脊髓型颈椎病,短期临床效果满意.Objective To analyze the early clinical outcome of Zero-P VA during the operation of anterior cervical discectomy and fusion(ACDF)in the treatment of cervical spondylotic myelopathy retrospectively.Methods A total of29patients(33Zero-P VA has been placed)with cervical spondylotic myelopathy were treated with ACDF with the Zero-P VA from June2013to June2015.The clinical results were evaluated with operation time and bleeding volume,the Bazaz score,the cervical curvature(Cobb angle),the Visual Analogue Scale(VAS),the Japanese Orthopaedic Association(JOA)scores and the Neck Disability Index(NDI).Results All patients were followed up for12to24(average14.48±3.51)months.During the follow-up,no patient was lost to follow-up and no data was lost.The mean operating time was(84.59±12.14)minutes.The intra-operative bleeding volume was(19.76±6.53)ml,and no postoperative patients developed complications like dysphagia.At the last follow-up,the Cobb angles were improved(P<0.05),the VAS scales decreased(P<0.05),average JOA scores significantly increased(P<0.05),and the NDI scores decreased(P<0.05).Conclusion The Zero-P VA has satisfactory short-term clinical result for the treatment of cervical spondylotic myelopathy.

关 键 词：脊髓型颈椎病 零切迹 脊髓压迫 内固定 Zero-PVA 

分 类 号：R651.2[医药卫生—外科学]