两种手术方式治疗钳夹型颈椎病的效果比较研究

Effect Comparative Study on Two Surgical Methods in Treatment of Cervical Spondylosis

目的在治疗钳夹型颈椎病时,比较分期后前路联合手术与一期后前路联合手术的两种治疗效果。方法回顾性筛选在2015年3月至2018年3月我院收治的钳夹型颈椎病患者资料,选取符合实验要求的分期后前路联合手术患者资料30例(研究A组),一期后前路联合手术患者资料30例(研究B组),分析对比两组患者的术中出血量、手术时间、术后引流量。结果研究A组术中出血量、术后引流量比研究B组少,差异对比明显(P<0.05)。结论综合两种手术效果来看,钳夹型脊髓型颈椎病患者行分期手术治疗安全性更高,手术风险较小,适用于高龄、手术耐受性差、伴有合并性疾病的患者,一期手术患者住院时间较短、手术费用较低适用于较年轻、病情单一的患者。

Objective During treatment of cervical spondylosis,compare two treatment effects of combined anterior anterior surgery and one-stage posterior anterior surgery.Methods Review and screen data of patients with clamp cervical spondylopathy admitted to our hospital from March 2015 to March 2018,choose 30 cases anterior patients combined anterior surgery that met experimental requirements(Study A),and 30 cases with anterior combined surgery(Study B).Analyze and compare intraoperative blood loss,operation time,and postoperative drainage volume of two groups.Results Intraoperative blood loss and postoperative drainage in study group A was less than study group B,with obvious difference(P<0.05).Conclusion Clamp type cervical spondylosis has higher safety and less risk of surgery for staged surgical treatment of patients,which is suitable for elderly patients with poor surgical tolerance and associated diseases.First-stage surgery can shorten hospital stay and reduce surgical costs of patients,which is suitable for younger cases with single condition.