颈前路减压术中有无钛板固定对术后短期疗效的影响-论文.pdf

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1、·3102·现代中西医结合杂志ModernJournalofIntegratedTraditionalChineseandWesternMedicine2014Oct，23(28)颈前路减压术中有无钛板固定对术后短期疗效的影响周玉军，刘法敬，胡成栋，陈怀志，张恩录，李东风(河北省邯郸市中心医院，河北邯郸056001)[摘要]目的探讨颈椎前路减压术中有无钛板固定对手术后短期疗效的影响。方法回顾性分析接受颈前路减压手术治疗的81例单节段颈椎间盘突出症(CDH)患者的临床资料，根据术中是否行钛板固定将其分为A

2、组(椎间融合器+钛板组)44例和B组(单纯椎问融合器组)37例，观察2组患者术前及术后JOA评分、颈椎曲度指数(CCI)的变化及轴性症状(AS)发生情况。结果2组患者术后3个月及末次随访时JOA评分较术前均有明显恢复(P均<0．05)，各时间点组间比较差异无统计学意义(P均>O．05)。A组手术前后CCI变化为(2．3±0．8)％，B组为(5．3±1．4)％，2组比较差异有统计学意义(P<0．05)。2组患者AS发生率分别为7％和24％，2组比较差异有统计学意义(P<0．05)。结论颈椎前路减压后单纯置

3、入椎问融合器对手术疗效无影响，但会增加术后AS的发生。[关键词]前路减压；钛板固定；颈椎间盘突出；轴性症状doi：10．3969／j．issn．1008—8849．2014．28．008[中图分类号]R0681．53[文献标识码]A[文章编号]1008—8849(2014)28—3102一o3Effectofanteriorcervicaldecompressionwithorwithouttitaniumplatefixationontheshort·termcurativeeffectinthiss

4、urgeryZhouYujun，LiuFajing，HuChengdong，ChenHuaizhi，ZhangEnlu，LiDongfeng(HandanCentralHospital，Handan056001，Hebei，China)Abstract：0bjectiveItistoinvestigatetheshort—termclinicaltherapeuticdiscrepancyofanteriorcervicaldecompressionwithorwithouttitaniumplatef

5、ixation．MethodsTheclinicaldataof81easesofsinglesegmentcervicaldiskherniationpa—tientswhoacceptedanteriorcervicaldecompressionandfusionwereretrospectivelyanalyzed．ThepatientsweredividedintogroupA(n=44)treatedwithcervicalinterbodyfusioncageandtitaniumplate

6、andgroupB(n=37)treatedwiththecageonlyaccordingtowhetherusingtitaniumplatefixationornotinthesurgery．ThechangesofJOAscoresandcervicalcurvatureindex(CCI)beforeandafteroperation，andtheincidenceofaxialsymptomswererecordedandanalyzedinbothgroups．Re-suitsJOAsco

7、reswereobviouslyimprovedin3monthsafteroperationandatthefinalfollow-upcomparedwiththatbeforetreat·-mentinbothgroups(P<0．05)，andthediferenceinthescoresateverytimepointwasnotsignificantbetweenthetwogroups(P>0．05)．ThechangeofCCIingroupAandgroupBwas(2．3±0．8)％

8、and(5．3-4-1．4)％respectively，comparedwitheachother，thedifferencewassignificant(P<0．05)，andtheincidenceofaxialsymptomswas7％ingroupAand24％ingroupB，therewassignificantdifferencebetweenthetwogroups(P<0．05)．ConclusionSimpleinser