后路经皮内镜颈椎间盘切除术治疗神经根型颈椎病的中远期疗效  

Medium and long-term curative effect of posterior percutaneous endoscopic cervical discectomy in treat-ment of cervical spondylotic radiculopathy

作　　者：刘少林 徐玉生[1] 李星晨[1] 黄泓翰 刘鋆宣 苗金红[1] 徐远志 LIU Shaolin;XU Yusheng;LI Xingchen;HUANG Honghan;LIU Yunxuan;MIAO Jinhong;XU Yuanzhi(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院,郑州450000

出　　处：《实用医学杂志》2021年第20期2624-2629,共6页The Journal of Practical Medicine

基　　金：河南省高等学校重点科研项目(编号:18A320010)。

摘　　要：目的探讨后路经皮内镜颈椎间盘切除术(posterior percutaneous endoscopic cervical discectomy,PPECD)治疗神经根型颈椎病的中远期疗效。方法选取2018年1月至2019年1月于我院治疗神经根型颈椎病患者62例,根据手术方法不同将其分为PPECD组30例和前路颈椎间盘切除融合术(anterior cervi-cal discectomy and fusion,ACDF)ACDF组32例。对两组围术期指标以及临床疗效评分、颈椎曲度和病变椎间高度等进行比较。结果PPECD组手术时间更短,出血更少,住院时间更短;术后随访两组在VAS评分、NDI评分较术前均明显改善,差异有统计学意义(P<0.05);ACDF组颈椎曲度Cobb角及病变椎间高度明显增加,差异有统计学意义(P<0.05),PPECD组则无明显变化。结论PPECD手术治疗神经根型颈椎病中远期疗效与ACDF手术相似,并且手术时间更短,出血更少,住院时间更短等优点。Objective To investigate the medium and long-term efficacy of posterior percutaneous endoscopic cervical discectomy(PPECD)in the treatment of cervical spondylotic radiculopathy.Methods A total of62 patients with cervical spondylotic radiculapathy treated in our hospital from Jan 2018 to Jan 2019 were selected According to different surgical methods,the patients were divided into PPECD group(30 cases),and anterior cervical discectomy and fusion(ACDF)group(32 cases).Perioperative indexes,clinical efficacy score,cervical curvature and intervertebral height of lesions were compared between the two groups.Results PPECD group had shorter operation time,less bleeding and shorter hospital stay.Postoperative follow-up showed that VAS score and NDI score in the two groups were significantly improved when compared with those before the operation,with the difference statistical significance(P<0.05).The cervical curvature Cobb angle and diseased intervertebral height were significantly increased in the ACDF group,and the differences were statistically significant(P<0.05),while there was no significant change in the PPECD group.Conclusion With shorter operation time,less bleeding and shorter hospital stay,the medium and long-term efficacy of PPECD in the treatment of cervical spondylotic radiculopathy is similar to that of ACDF.

关 键 词：神经根型颈椎病 经皮内镜 前路颈椎间盘切除融合术 

分 类 号：R681.5[医药卫生—骨科学]