零切迹融合器在颈前路椎间盘切除融合术治疗多节段脊髓型颈椎病中的应用  

Application of Zero Incision Fusion Cage in Anterior Cervical Discectomy and Fusion Surgery for the Treatment of Multi Segment Cervical Spondylotic Myelopathy

作　　者：仓定伟 CANG Dingwei(the First People's Hospital of Yancheng City,Yancheng 224000,China)

机构地区：[1]盐城市第一人民医院,江苏盐城224000

出　　处：《中外医学研究》2024年第21期71-74,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨零切迹融合器在颈前路椎间盘切除融合术治疗多节段脊髓型颈椎病中的应用效果。方法:选取2021年11月—2022年11月盐城市第一人民医院收治的80例多节段脊髓型颈椎病患者作为研究对象,根据双盲法将其分为对照组(40例)和试验组(40例),其中对照组给予传统融合器加钛板固定治疗,试验组给予零切迹融合器进行治疗,对两组患者围术期指标、临床疗效进行比较,同时对比两组患者影像学相关指标和并发症发生情况。结果:相较于对照组,试验组手术时间较短,差异有统计学意义(P<0.05),而两组患者在术中出血量和住院时间上差异无统计学意义(P>0.05);相较于术前,两组术后3个月、术后1年的日本骨科学会颈椎病疗效评定标准(JOA)量表评分较高,颈椎功能障碍指数评分量表(NDI)评分较低,差异有统计学意义(P<0.05);相较于术前,两组术后3个月、术后1年颈椎Cobb角均显著增加,差异有统计学意义(P<0.05);相较于对照组,试验组并发症发生率显著降低,差异有统计学意义(P<0.05)。结论:在颈前路椎间盘切除融合术治疗多节段脊髓型颈椎病中应用零切迹融合器可获得传统融合器加钛板固定相当的治疗效果,并且应用零切迹融合器手术时间更短、术中出血量更少,可降低患者术后吞咽困难以及相邻节段退变发生风险,治疗更加安全,可靠。Objective:To explore the application effect of zero incision fusion cage in anterior cervical discectomy and fusion surgery for the treatment of multi segment cervical spondylotic myelopathy.Method:Eighty patients with multi segment cervical spondylotic myelopathy admitted to the First People's Hospital of Yancheng City from November 2021 to November 2022 were randomly selected as the study subjects.They were divided into two groups using a double-blind method,with 40 patients in each group.The control group received traditional fusion cage and titanium plate fixation treatment,while the experimental group received zero incision fusion cage treatment.Perioperative indicators and clinical efficacy were compared between the two groups,while imaging related indicators and incidence of complications were compared between the two groups.Result:Compared with the control group,the experimental group had a shorter surgical time and a significant difference(P<0.05).While there was no significant difference in intraoperative bleeding and hospital stay between the two groups(P>0.05).Compared to preoperative,the JOA scores of the two groups were higher 3 months and 1 year after surgery,while the NDI scores were lower(P<0.05).The Cobb angle of the cervical spine in both groups significantly increased 3 months and 1 year after surgery,with significant differences(P<0.05).Compared to the control group,the incidence of complications in the experimental group was significantly lower,and there was a significant difference.(P<0.05).Conclusion:The application of zero incision fusion cage in anterior cervical discectomy and fusion for the treatment of multi segment cervical spondylotic myelopathy can achieve comparable therapeutic effects to traditional fusion cage and titanium plate fixation.What's more,using zero incision fusion cage has shorter surgical time and less intraoperative bleeding,which can reduce postoperative dysphagia and the risk of adjacent segment degeneration in patients,and the safety of treatment is higher.

关 键 词：零切迹融合器 颈前路椎间盘切除融合术 多节段脊髓型颈椎病 

分 类 号：R687.3[医药卫生—骨科学]