显微镜下颈椎前路减压零切迹椎间融合术治疗脊髓型颈椎病的临床疗效  

Clinical Effect of Anterior Cervical Decompression and Zero-notch Interbody Fusion Under Microscope in the Treatment of Cervical Spondylotic Myelopathy

作　　者：刘剑军[1] 傅曙光 熊建卫 谢静波[1] LIU Jian-jun;FU Shu-guang;XIONG Jian-wei;XIE Jing-bo(Orthopedic Spine Ward,Fengcheng People's Hospital,Fengcheng 331100,Jiangxi,China)

机构地区：[1]丰城市人民医院骨科脊柱病区,江西丰城331100

出　　处：《医学信息》2020年第15期97-99,共3页Journal of Medical Information

基　　金：江西省卫生健康委科技计划(编号:202004774)。

摘　　要：目的探讨显微镜下颈椎前路减压零切迹椎间融合术治疗脊髓型颈椎病的临床效果。方法选取2019年6月~2020年6月我院收治的脊髓型颈椎病患者60例,采用随机数字表法将其分为实验组与对照组,各30例。对照组采用传统颈前路减压植骨融合术治疗,实验组采用显微镜下颈椎前路减压零切迹椎间融合术治疗,比较两组手术时间、术中引流量、术中出血量、治疗前后颈椎Cobb角、VAS评分、JOA评分及并发症发生情况。结果实验组手术时间、术中引流量及术中出血量均少于对照组,差异有统计学意义(P<0.05);治疗前两组患者Cobb角、VAS评分及JOA评分比较,差异无统计学意义(P>0.05),治疗后两组Cobb角及JOA评分均高于治疗前,且实验组高于对照组,差异有统计学意义(P<0.05),两组VAS评分均低于治疗前,且实验组VAS评分低于对照组,差异有统计学意义(P<0.05);实验组并发症总发生率(10.00%)低于对照组(26.67%),差异有统计学意义(P<0.05)。结论经显微镜下颈椎前路减压零切迹椎间融合术治疗脊髓型颈椎病可缩短手术时间、降低术中引流量及出血量,改善患者Cobb角及神经功能,疼痛较轻,术后并发症较少,值得临床应用。Objective To explore the clinical effect of cervical spine anterior decompression and zero-notch interbody fusion under microscope in the treatment of cervical spondylotic myelopathy.Methods 60 patients with cervical spondylotic myelopathy admitted to our hospital from June 2019 to June 2020 were selected.They were divided into experimental group and control group by random number table method,each with 30 cases.The control group was treated with traditional anterior cervical reduction.Compression bone graft fusion treatment,the experimental group was treated with anterior cervical decompression and zero-notch interbody fusion under a microscope.The operation time,intraoperative drainage,intraoperative blood loss,cervical Cobb angle before and after treatment,and VAS score were compared between the two groups,JOA score and complications.Results The operation time,intraoperative drainage volume and intraoperative blood loss of the experimental group were less than those of the control group,the difference was statistically significant(P<0.05);the Cobb angle,VAS score and JOA score of the two groups before treatment were not statistically different significant(P>0.05).After treatment,the Cobb angle and JOA scores of the two groups were higher than those before treatment,and the experimental group was higher than the control group,the difference was statistically significant(P<0.05).The VAS scores of the two groups were lower than before treatment,and the VAS score of the experimental group was lower than that of the control group,the difference was statistically significant(P<0.05);the total incidence of complications in the experimental group(10.00%)was lower than that of the control group(26.67%),the difference was statistically significant(P<0.05).Conclusion The treatment of cervical spondylotic myelopathy with anterior cervical decompression and zeronotch interbody fusion under the microscope can shorten the operation time,reduce the amount of drainage and blood loss during the operation,and improve the Cobb an

关 键 词：颈椎前路减压零切迹椎间融合术 显微镜 传统内固定术 脊髓型脊椎病 

分 类 号：R687.3[医药卫生—骨科学]