微创小切口零切迹颈前路椎间融合器治疗单节段脊髓型颈椎病的临床价值分析

　　【摘要】 目的 探究微创小切口零切迹颈前路椎间融合器治疗单节段脊髓型颈椎病的临床价值。方法 80例单节段脊髓型颈椎病患者作为研究对象， 均采用微创小切口零切迹颈前路椎间融合器治疗， 观察手术效果， 对比手术前后的视觉模拟评分法（VAS）评分、日本骨科协会（JOA）评分、椎间隙高度以及Cobb角变化。结果 患者手术平均时长（53.26±10.21）min， 平均术中出血量（35.14±10.32）ml， 平均住院时间（5.6±1.6）d;术后并发生症总发生率为7.50%。术后1周、末次随访时的VAS、JOA评分与术前对比差异均具有统计学意义（P<0.05）;末次随访时的VAS、JOA评分与术后1周对比差异均具有统计学意义（P<0.05）。术后1周、末次随访时的椎间隙高度、Cobb角与术前对比差异均具有统计学意义（P<0.05）;末次随访时的椎间隙高度、Cobb角与术后1周对比差异均无统计学意义（P>0.05）。结论 微创小切口零切迹颈前路椎间融合器治疗单节段脊髓型颈椎病疗效显著， 具有推广价值。
　　【关键词】 微创;小切口;零切迹颈前路椎间融合器;单节段;脊髓型颈椎病
　　DOI：10.14163/j.cnki.11-5547/r.2018.12.011
　　【Abstract】 Objective To investigate the clinical value of minimally invasive small incision and zero-incisura cervical anterior interbody fusion for the treatment of single-segment cervical spondylotic myelopathy. Methods A total of 80 patients with single-segment cervical spondylotic myelopathy as study subjects were all treated with minimally invasive small incision and zero-incisura cervical anterior interbody fusion， and their surgical effect was observed. Comparison were made on visual analogue scale （VAS）， Japanese Orthopedic Association （JOA） score， intervertebral height and Cobb angle changes between the two groups. Results Patients had average operation time as （53.26±10.21） min， average intraoperative bleeding volume as （35.14±10.32） ml，
　　mean hospitalization time as （5.6±1.6） d， and incidence of total postoperative complications as 7.50%. There was statistically significant difference in VAS and JOA score in postoperative 1 week and last follow-up， comparing with before operation （P<0.05）. There was statistically significant difference in VAS and JOA score at last follow-up， comparing with postoperative 1 week （P<0.05）. There was statistically significant difference in intervertebral height and Cobb angle in postoperative 1 week and last follow-up， comparing with before operation （P<0.05）. There was no statistically significant difference in intervertebral height and Cobb angle at last follow-up， comparing with postoperative 1 week （P>0.05）. Conclusion Minimally invasive small incision and zero-incisura cervical anterior interbody fusion shows remarkable efficacy for the treatment of single-segment cervical spondylotic myelopathy， and it contains promotion value.
　　【Key words】 Minimally invasive; Small incision; Zero-incisura cervical anterior interbody fusion; Single-segment; Cervical spondylotic myelopathy
　　目前， 脊柱外科已經得以迅速发展， 微创融合术已经广泛应用到临床治疗中， 广受单节段脊髓型颈椎病的欢迎。微创小切口零切迹颈前路椎间融合器治疗法巧妙地应用力学稳定性， 将融合器打入患者的椎体中， 达到了有效支撑、固定椎体的作用[1]。本研究对本院2013年5月～2016年10月收治的80例单节段脊髓型颈椎病患者进行分析， 旨在探究微创小切口零切迹颈前路椎间融合器治疗的应用价值。现报告如下。

相关热词搜索：脊髓 前路 颈椎病 临床 融合