锁孔微创手术治疗颈椎病患者术后神经功能恢复与颈椎稳定性的效果观察

Neural functional restoration and stability of cervical vertebra in cervical syndrome patients after microendoscopic discectomy

目的:比较锁孔微创内窥镜手术(MED)与常规传统保守方法治疗颈椎病患者术后颈椎稳定性及神经功能的恢复情况。方法:选择颈椎病患者14例,平均分成两组,1组行MED手术,1组行保守治疗,记录每1例手术的时间、切口大小、出血量、下床时间、住院时间、恢复工作时间等,并随访手术效果。部分患者复查了CT,MRI。结果:两组患者的症状都有缓解,但手术组治疗效果明显,而且MED手术创伤小,失血少,切口仅长3.5cm,行皮内缝合,不需拆线,10d出院。结论:MED治疗颈椎病,疗效与常规开放手术相同,患者术后无神经功能障碍,并且不影响颈椎的稳定性。

AIM: To compare the stability of cervical vertebra and the recovered information of neural function of the cervical syndrome patients after microendoscopic discectomy (MED) and routine conservative treatment. METHODS: Fourteen cervical syndrome patients were selected and divided equally into 2 groups. One group was treated with microendoscopic discectomy (MED) and the other group was treated with routine conservative treatment. The operative time, size of incision, blood loss, length of getting out of bed, length of stay, length of recovering to go to work in each patient were recorded and the effects of operation were followed up. Some patients were rechecked by CT and MRI. RESULTS: The symptom of the two groups was all relieved. But the therapeutic efficacy of the operation group was obvious and the trauma caused by MED and blood loss were less, the length of incision was only 3.5 cm. Intradermic suture was performed without taking out stitches and the patients could discharge 10 days later. CONCLUSION: The curative effect of treating cervical syndrome with MED is the same as with routine treatment. The patients will not have the neural functional disturbance and the stability of ceruical uertevra will not be affected.