前路减压治疗颈椎间盘突出症56例疗效分析

Anterior decompression of cervical disc herniation:Analysis of 56 cases

目的：探讨颈椎间盘突出症的临床特点及治疗效果。方法：５６例颈椎间盘突出症前路环钻减压切除椎间盘，自体髂骨植骨融合。术后随访，平均１７个月。结果：颈椎间盘前路减压的手术效果较后路好。对颈腰段同时或先后发生者，除非腰椎间盘突出症状很明显，一般先行颈段手术。结论：颈椎间盘突出症病程超过２年者疗效差；ＭＲＩ可了解脊髓变性情况。

Objective:The clinical manifestation and therapeutic effect of cervical disc herniation were investigated.Methods:56 cases of cervical disc herniation were treated with anterior discectomy and interbody iliac bone graft.Results:Anterior decompression allowed a direct approach and its therapeutic effect was better than the posterior approach.If herniation coexisted in cervical and lumbar spine,operation should first be performed in cervical spine.Conclusions:In 17 months followup study,48 cases(85.7%) were in good condition,but not in cases with herniation for more than 2 years.MRI may reflect the pathologic condition of the disease and evaluate its prognosis.