| 彭帅 刘向阳 向铁城 张毅 沈雄杰.单节段颈椎人工椎间盘置换术治疗颈椎病的临床研究[J].,2017,17(2):287-289 |
| 单节段颈椎人工椎间盘置换术治疗颈椎病的临床研究 |
| The Clinical Study of the Single Level Cervical Disc Arthroplasty forCervical Spondylosis Myelopathy |
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| DOI： |
| 中文关键词: 单节段颈椎人工椎间盘置换术 前路颈椎减压融合术 颈椎病 疗效 |
| 英文关键词: Single segment cervical disc arthroplasty Anterior cervical decompression and fusion Cervical spondylosis Clinical
effects |
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| 中文摘要: |
| 目的：探讨单节段颈椎人工椎间盘置换术（CDA）治疗颈椎病的临床效果。方法：选择2013 年5 月到2015 年5 月在我院收治
的80 例颈椎病患者，按手术方式不同分为颈椎人工椎间盘置换组（CDA组）和前路颈椎减压融合组（ACDF 组），各40 例。两组患
者均于术前、术后3 个月、术后6 个月及术后1年进行末期随访时，采用颈椎功能障碍指数（NDI）评价患者颈部功能，采用颈痛视
觉模拟评分（VAS）和上肢痛VAS 评价患者颈部疼痛，采用X线片在过伸和过屈位测量患者术前和术后手术节段相邻节段的活
动度。结果：两组患者术后3 个月、6 个月及术后1 年时的NDI评分、颈痛VAS及上肢痛VAS均明显低于术前，差异具有统计学
意义（P<0.05），然而两组间比较差异无统计学意义（P>0.05）。CDA 组患者术后3个月、6 个月及术后1 年时的手术相邻上节段活
动度和手术相邻下节段活动度与术前比较差异无统计学意义（P>0.05），而ACDF组患者术后3 个月、6 个月及术后1 年时均明显
高于术前及同期CDA 组，差异具有统计学意义（P<0.05）。结论：单节段CDA治疗颈椎病的临床疗效与ACDF相近，另外其不会
引起手术相邻节段活动度的增加，值得在临床上推广应用。 |
| 英文摘要: |
| Objective:To explore the clinical effects of the single level cervical disc arthroplasty for the cervical disease.Methods:80 patients who have cervical spondylosis were selected from May 2013 to May 2015, which were divided two groups randomly
according to the surgical approach. 40 patients was in CDA group(experimental group) and 40 patients in ACDF group(controlled group).
Before operation 3, 6 and 12 months after operation, the patients were followed up. The neck fuction of patients were evaluated by neck
disability index (NDI) preoperative and postoperative, the neck pain of patients were evaluated by visual analogue scale (VAS)
preoperative and postoperative, the range of movement (ROM) in operation segement was determined by dynamic X-ray.Results:The
NDI score, neck pain VAS and upper limb pain VAS after 3, 6 months and the end of the follow-up were significantly lower than the
preoperative, the difference was statistically significant (P<0.05), but there was no statistical difference between the two groups(P>0.05).
The range of movement of the CDA group after 3, 6 months and the end of the follow-up was no statistical difference with the
preoperative(P>0.05). The range of movement of the ACDF group after 3,6 months and the end of the follow-up was statistical difference
with the preoperative and the same period CDA group, the difference were statistically significant (P<0.05).Conclusion:The clinical
efficacy of single segment CDA in treating cervical spondylosis is similar to that of ACDF, In addition, it will not cause the increase of
the activity of adjacent segment, so it is worth popularizing in clinic. |
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