目的:探讨颈椎前路间盘切除椎间融合内固定(anterior cervical discectomy and fusion,ACDF)手术对脊髓型颈椎病合并高血压患者血压的影响。方法:选取2017年1月-2019年11月于笔者所在医院行颈椎ACDF手术治疗的脊髓型颈椎病合并高血压患...目的:探讨颈椎前路间盘切除椎间融合内固定(anterior cervical discectomy and fusion,ACDF)手术对脊髓型颈椎病合并高血压患者血压的影响。方法:选取2017年1月-2019年11月于笔者所在医院行颈椎ACDF手术治疗的脊髓型颈椎病合并高血压患者71例为观察对象,对比手术前后VAS评分、心率、收缩压、舒张压及高血压分级情况。结果:手术前后VAS评分比较,差异无统计学意义(t=1.890,P=0.063);术后心率、收缩压及舒张压均低于术前,差异均有统计学意义(t=3.260、5.303、4.838,P<0.05);术后血压正常29例(40.8%),显著多于术前,差异有统计学意义(χ^2=36.442,P<0.05);术后高血压2、3级发生率均低于术前,差异均有统计学意义(χ^2=4.745、6.324,P=0.039、0.012)。结论:ACDF手术可以降低脊髓型颈椎病合并高血压患者的心率及血压水平。展开更多
Background: Artificial cervical disc replacement has become an option for cervical radiculopathy. Previous studies have evaluated the efficacy of this alternative without the scientific rigor of a concurrent control p...Background: Artificial cervical disc replacement has become an option for cervical radiculopathy. Previous studies have evaluated the efficacy of this alternative without the scientific rigor of a concurrent control population in oriental patients for long-term follow-up. Objective: Therefore, we asked whether the 1) clinical and 2) radiographic outcomes of Bryan cervical disc prosthesis were better than that of anterior cervical discectomy and fusion (ACDF) at single site, and whether the 3) occurrences of heterotopic ossifications (HOs) were associated to the function loss in the long-term follow-up. Methods:?A total of 120 patients with cervical disc disease were randomly assigned to two groups (Bryan or ACDF), and 60-month follow-up is available for all the 120 patients. Clinical outcomes were assessed using Odom’s criteria, visual analogue pain scale (VAS) and Neck Disability Index (NDI). Radiographs were measured to determine the radiographic outcomes and occurrences of heterotopic ossifications (HOs).?Results: The clinical outcomes are not significantly between the two groups (VAS, P = 0.7253;NDI, P = 0.5528). The radiographic outcome ofBryancervical disc prosthesis is better than that of ACDF group at the index level (P < 0.05). 36 (60%) patients ofBryangroup developed heterotopic ossification. But, there is not a significant association between HOs and the loss of movement at the replacement level. Conclusions: The Bryan artificial disc replacement compares favorably to ACDF for the treatment of patients with 1-level cervical disc disease. And theBryandisc may delay adjacent level degeneration by preserving preoperative kinematics at adjacent levels in oriental patients.展开更多
目的:对比分析后路椎板成形联合椎间孔切开术式(laminoplasty with for aminotomy,LF)与颈前路椎间盘切除减压融合术(anterior cervical discectomy and fusion,ACDF)在混合型颈椎病患者中的临床疗效及安全性。方法:分析148例混合型颈...目的:对比分析后路椎板成形联合椎间孔切开术式(laminoplasty with for aminotomy,LF)与颈前路椎间盘切除减压融合术(anterior cervical discectomy and fusion,ACDF)在混合型颈椎病患者中的临床疗效及安全性。方法:分析148例混合型颈椎病患者的临床资料。根据手术治疗方式的不同,将入选者分成观察组(LF治疗,43例)和对照组(ACDF治疗,105例)两组。比较两组患者的临床疗效、随访结束时颈椎神经功能障碍指数量表(NDI)评分及并发症发生率。结果:观察组患者的手术时间及颈椎曲度明显低于对照组,但术中出血量及下肢感觉改善率明显高于对照组(P<0.05);随访结束时观察组患者提物及开车项目的评分明显高于对照组(P<0.05);观察组总并发症发生率(11.6%)明显低于对照组(28.6%)(χ2=4.850,P=0.03)。结论:混合型颈椎病患者采用LF术式治疗的临床疗效突出,可有效解除脊髓受压症状,且安全性良好。展开更多
介绍了应用零切迹颈椎前路椎间融合器(Zero-P)行颈椎前路椎间盘切除减压融合术(anterior cervical discectomy and fusion,ACDF)的生物力学稳定性,综述了Zero-P在单、双节段,跨节段,多节段脊髓型颈椎病等颈椎退行性病变治疗中的疗效,阐...介绍了应用零切迹颈椎前路椎间融合器(Zero-P)行颈椎前路椎间盘切除减压融合术(anterior cervical discectomy and fusion,ACDF)的生物力学稳定性,综述了Zero-P在单、双节段,跨节段,多节段脊髓型颈椎病等颈椎退行性病变治疗中的疗效,阐述了Zero-P在降低术后吞咽困难及临近节段退变发生率等方面的优势,分析了Zero-P应用的不足并提出了解决办法,为提升Zero-P应用于颈椎退行性病变治疗的效果提供了参考。展开更多
文摘目的:探讨颈椎前路间盘切除椎间融合内固定(anterior cervical discectomy and fusion,ACDF)手术对脊髓型颈椎病合并高血压患者血压的影响。方法:选取2017年1月-2019年11月于笔者所在医院行颈椎ACDF手术治疗的脊髓型颈椎病合并高血压患者71例为观察对象,对比手术前后VAS评分、心率、收缩压、舒张压及高血压分级情况。结果:手术前后VAS评分比较,差异无统计学意义(t=1.890,P=0.063);术后心率、收缩压及舒张压均低于术前,差异均有统计学意义(t=3.260、5.303、4.838,P<0.05);术后血压正常29例(40.8%),显著多于术前,差异有统计学意义(χ^2=36.442,P<0.05);术后高血压2、3级发生率均低于术前,差异均有统计学意义(χ^2=4.745、6.324,P=0.039、0.012)。结论:ACDF手术可以降低脊髓型颈椎病合并高血压患者的心率及血压水平。
文摘Background: Artificial cervical disc replacement has become an option for cervical radiculopathy. Previous studies have evaluated the efficacy of this alternative without the scientific rigor of a concurrent control population in oriental patients for long-term follow-up. Objective: Therefore, we asked whether the 1) clinical and 2) radiographic outcomes of Bryan cervical disc prosthesis were better than that of anterior cervical discectomy and fusion (ACDF) at single site, and whether the 3) occurrences of heterotopic ossifications (HOs) were associated to the function loss in the long-term follow-up. Methods:?A total of 120 patients with cervical disc disease were randomly assigned to two groups (Bryan or ACDF), and 60-month follow-up is available for all the 120 patients. Clinical outcomes were assessed using Odom’s criteria, visual analogue pain scale (VAS) and Neck Disability Index (NDI). Radiographs were measured to determine the radiographic outcomes and occurrences of heterotopic ossifications (HOs).?Results: The clinical outcomes are not significantly between the two groups (VAS, P = 0.7253;NDI, P = 0.5528). The radiographic outcome ofBryancervical disc prosthesis is better than that of ACDF group at the index level (P < 0.05). 36 (60%) patients ofBryangroup developed heterotopic ossification. But, there is not a significant association between HOs and the loss of movement at the replacement level. Conclusions: The Bryan artificial disc replacement compares favorably to ACDF for the treatment of patients with 1-level cervical disc disease. And theBryandisc may delay adjacent level degeneration by preserving preoperative kinematics at adjacent levels in oriental patients.
文摘目的:对比分析后路椎板成形联合椎间孔切开术式(laminoplasty with for aminotomy,LF)与颈前路椎间盘切除减压融合术(anterior cervical discectomy and fusion,ACDF)在混合型颈椎病患者中的临床疗效及安全性。方法:分析148例混合型颈椎病患者的临床资料。根据手术治疗方式的不同,将入选者分成观察组(LF治疗,43例)和对照组(ACDF治疗,105例)两组。比较两组患者的临床疗效、随访结束时颈椎神经功能障碍指数量表(NDI)评分及并发症发生率。结果:观察组患者的手术时间及颈椎曲度明显低于对照组,但术中出血量及下肢感觉改善率明显高于对照组(P<0.05);随访结束时观察组患者提物及开车项目的评分明显高于对照组(P<0.05);观察组总并发症发生率(11.6%)明显低于对照组(28.6%)(χ2=4.850,P=0.03)。结论:混合型颈椎病患者采用LF术式治疗的临床疗效突出,可有效解除脊髓受压症状,且安全性良好。
文摘介绍了应用零切迹颈椎前路椎间融合器(Zero-P)行颈椎前路椎间盘切除减压融合术(anterior cervical discectomy and fusion,ACDF)的生物力学稳定性,综述了Zero-P在单、双节段,跨节段,多节段脊髓型颈椎病等颈椎退行性病变治疗中的疗效,阐述了Zero-P在降低术后吞咽困难及临近节段退变发生率等方面的优势,分析了Zero-P应用的不足并提出了解决办法,为提升Zero-P应用于颈椎退行性病变治疗的效果提供了参考。
