四川生理科学杂志2024,Vol.46Issue(9) :2013-2015.

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

Clinical effect observation of anterior cervical zero notch fusion device fixation for cervical disc herniation

刘涛 王志国 祁道超
四川生理科学杂志2024,Vol.46Issue(9) :2013-2015.

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

Clinical effect observation of anterior cervical zero notch fusion device fixation for cervical disc herniation

刘涛 1王志国 1祁道超1
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作者信息

  • 1. 固始县人民医院骨科,河南 信阳 464000
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摘要

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.

Abstract

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.

关键词

颈椎前路/零切迹融合器固定/颈椎间盘突出/临床效果

Key words

Anterior cervical approach/Zero notch fusion apparatus fixation/Cervical disc herniation/Clinical effect

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出版年

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
参考文献量5
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