摘要
目的探讨在脊髓型颈椎病患者治疗中以不同颈椎前路手术展开治疗干预的临床效果。方法方便选取2019年1月—2021年3月于该院行手术治疗的脊髓型颈椎病患者186例,以不同手术方法分组,对照组121例,治疗组65例。在对照组中提供颈前路钢板椎间融合系统(PCB),在治疗组中提供零切迹椎间融合器椎间固定融合术(Zero-P),比较两组围术期指标、脊髓功能、并发症发生率及内植物松脱率。结果治疗组手术用时(100.35±24.20)min及术中失血量(76.20±20.22)mL低于对照组,差异有统计学意义(t=11.196、15.243,P<0.05),但两组住院时间比较差异无统计学意义(t=0.716,P>0.05);治疗组末次随访时JOA评分(17.05±1.60)分高于对照组,差异有统计学意义(P<0.05);治疗组术后并发症发生率3.1%低于对照组的11.6%,差异有统计学意义(χ^(2)=3.880,P<0.05);对照组术后内植物松脱率发生率2.5%,高于治疗组的0.0%,但差异无统计学意义(P>0.05)。结论通过应用Zero-P与PCB对颈椎病患者展开治疗干预,所取得疗效较为理想,但相较于PCB,以Zero-P展开治疗,具有创伤小、术中失血量少、手术时间短且术后内植物稳定性强等优势,在显著降低患者术后发生吞咽困难症状的同时,还能够有效缓解患者病情,改善其生活质量。
Objective To explore the clinical effects of different anterior cervical surgery interventions in the treatment of patients with cervical spondylotic myelopathy.Methods 186 patients with cervical spondylotic myelopathy who underwent surgical treatment in the hospital from January 2019 to March 2021 were conveniently selected.They were divided into 121 cases in the control group and 65 cases in the treatment group.In the control group,the anterior cervical plate interbody fusion system(PCB)was provided,and in the treatment group,the zero-notch interbody fusion cage interbody fixation and fusion(Zero-P)was provided.The perioperative indexes,spinal cord function,complication rate and endophyte loosening rate were compared between the two groups.Results The operation time(100.35±24.20)min and the intraoperative blood loss(76.20±20.22)mL of the treatment group were lower than those of the control group,and the difference was statistically significant(t=11.196,15.243,P<0.05).However,there was no statistically significant difference in hospitalization time between the two groups(t=0.716,P>0.05).The JOA score(17.05±1.60)points of the treatment group at the last follow-up was higher than that of the control group,and the difference was statistically significant(P<0.05).The postoperative complications rate of the treatment group were 3.1%lower than the control group 11.6%,the difference was statistically significant(χ^(2)=3.880,P<0.05).The incidence of plant loosening in the control group was 2.5%higher than that in the treatment group by 0.0%,but the difference was not statistically significant(P>0.05).Conclusion Through the application of Zero-P and PCB to treat patients with cervical spondylosis,the curative effect achieved is relatively ideal.However,compared with PCB,treatment with Zero-P has the advantages of less trauma,less blood loss during operation,shorter operation time,and strong postoperative endophyte stability.It can significantly reduce the symptoms of dysphagia after the operation of the patient,and it can also effectively alleviate the patient's condition and improve the quality of life.
作者
陈天赔
黄春辉
卢海川
CHEN Tianpei;HUANG Chunhui;LU Haichuan(Department of Spine Surgery,Longyan First Hospital,Fujian Medical University,Longyan,Fujian Province,364000 China)
出处
《中外医疗》
2022年第4期16-19,共4页
China & Foreign Medical Treatment
基金
龙岩市社会发展科技重点项目(2020LYF9013)。
关键词
脊髓型颈椎病
疗效
手术治疗
安全性
Cervical spondylotic myelopathy
Curative effect
Surgical treatment
Safety
