首页|颈椎前路零切迹融合器固定治疗颈椎间盘突出的临床效果观察

颈椎前路零切迹融合器固定治疗颈椎间盘突出的临床效果观察

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目的:研究颈椎前路零切迹融合器(Zero-profile Integrated Plate and Spacer Device,Zero-P)固定治疗颈椎间盘突出(Cervical disc herniation,CDH)的临床效果.方法:选取我院 2020 年9 月至2023 年9 月的CDH患者86 例,按随机数字表法分为对照组(n=42)和观察组(n=44),对照组采用传统融合器钢板内固定系统手术治疗,观察组采用颈椎前路 Zero-P 手术治疗.分析比较两组的手术情况(手术出血量和手术时间)、神经功能、疗效和吞咽困难情况.结果:观察组的手术时间和手术出血量均显著低于对照组(P<0.05).观察组在术后 3 m和术后6 m的日本骨科协会评估治疗(Japanese Orthopaedic Association scores,JOA)评分均显著高于对照组(P<0.05).观察组在术后 6 m的Odom评级总优良率显著高于对照组(P<0.05).观察组术后吞咽困难发生率显著低于对照组(P<0.05).结论:颈椎前路Zero-P治疗CDH,能提高临床疗效,促进手术顺利开展,减少术后吞咽困难,促进脊髓神经功能恢复.
Clinical effect observation of anterior cervical zero notch fusion device fixation for cervical disc herniation
Objective:To investigate the clinical effects of Zero-profile Integrated Plate and Spacer Device(Zero-P)fixation in the treatment of cervical disc herniation(CDH).Methods:86 patients with CDH in our hospital from September 2020 to September 2023 were selected and divided into control group(n=42)and observation group(n=44)according to random number table method.The control group was treated with traditional fusion plate internal fixation system,and the observation group was treated with anterior cervical Zero-P surgery.The operative conditions(amount of blood loss and operative time),neurological function,therapeutic effect and dysphagia of the two groups were analyzed and compared.Results:The operation time and blood loss in the observation group were significantly lower than those in the control group(P<0.05).The Japanese Orthopaedic Association scores(JOA)of the observation group at 3 and 6 months after surgery were significantly higher than those of the control group(P<0.05).The overall good and good rate of Odom rating in observation group was significantly higher than that in control group at 6 months after operation(P<0.05).The incidence of dysphagia in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Cervical anterior Zero-P treatment of CDH can improve the clinical effect,promote the smooth operation,reduce postoperative dysphagia,and promote the recovery of spinal nerve function.

Anterior cervical approachZero notch fusion apparatus fixationCervical disc herniationClinical effect

刘涛、王志国、祁道超

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固始县人民医院骨科,河南 信阳 464000

颈椎前路 零切迹融合器固定 颈椎间盘突出 临床效果

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(9)
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