两种融合方式治疗创伤性颈脊髓中央综合征的疗效比较  

The comparison of two fusion methods in the treatment of traumatic cervical spinal central syndrome

作　　者：吴树华[1] 王遥伟[1] 张华俊[1] 束晖[1] Wu Shuhua

机构地区：[1]江苏省丹阳市人民医院,212300

出　　处：《浙江临床医学》2021年第10期1419-1421,共3页Zhejiang Clinical Medical Journal

摘　　要：目的比较零切迹前路颈椎椎间融合装置(Zero-P)与颈椎前路钢板固定(CSLP)加椎间融合器治疗单节段创伤性颈脊髓中央综合征(TCCS)的临床疗效。方法回顾性分析38例TCCS患者的临床资料,按照治疗方法的不同分为A(Zero-P固定)组16例和B(CSLP固定)组22例,比较两组患者的手术时间、术中出血量、术后住院天数、住院费用,术前、术后1周、术后6个月JOA评分,术后1周、术后1个月、术后6个月吞咽困难的发生率。结果两组患者术中出血量、术后住院天数比较,差异无统计学意义(P>0.05);手术时间、住院费用比较,差异有统计学意义(P<0.05)。两组患者术后1周、术后6个月的JOA评分与术前比较,差异均有统计学意义(P<0.05)。两组患者术后1周呑咽困难发生率比较,差异有统计学意义(P<0.05)。结论Zero-P固定与CSLP固定治疗TCCS的疗效确切,Zero-P固定在手术时间与减少患者呑咽困难发生等方面更具优势。Objective To compare the clinical efficacy of zero-legged front road cervical vertebrae fusion device and cervical vertebrae steel plate fixation(CSLP)plus interbody fusion device in the treatment of single-section traumatic central cord syndrome(TCCS).Methods Retrospectively analyzed the clinical data of 38 patients with TCCS,in accordance with the difference in the treatment method,16 cases of A(CSLP fixed)group,22 cases,compared the operation time of the two groups of patients,and the blood loss After the postoperative hospitalization,hospitalization,preoperative,1 week after surgery,6 months after surgery,1 week after surgery,1 month after surgery,the incidence of dysphagia 6 months after surgery.Results The amount of blood during operation and postoperative hospitalization in two groups were compared,and the difference was not Statistically significant(P>0.05);the surgical time,hospitalization cost comparison,the difference was statistically significant(P<0.05).The two groups were 1 week after surgery,and the JOA score and preoperative comparison were staristically significant(P<0.05).There was statistically significant significance,and the difference was statistically significant(P<0.05).Conclusion The efficacy of Zero-P fixation and CSLP fixation TCCs is more advantageous for Zero-P fixation in surgical time and reduction in patient swallowing difficulties.

关 键 词：创伤性颈脊髓中央综合征 零切迹前路颈椎椎间融合装置 单节段 

分 类 号：R68[医药卫生—骨科学]