颈椎前路植骨融合术治疗脊髓型颈椎病89例临床疗效分析

Clinical Analysis of Anterior Cervical Interbody Fusion in the Treatment of 89 Patients with Cervical Spondylotic Myelopathy

目的观察颈椎前路植骨融合术治疗脊髓型颈椎病的疗效。方法将符合诊断标准的脊髓型颈椎病患者198例采用随机数字表法分为治疗组与对照组,每组89例。治疗组采用颈椎前路植骨融合术治疗,对照组采用颈椎后路椎板减压术。术后予患者颈围外固定3～4个月。结果优秀率治疗组为68.54%,对照组为43.82%,两组比较有明显差异(P<0.05);总有效率治疗为94.38%,对照组为70.79%,两组相比有统计学意义(P<0.05)。两组患者治疗后颈部不适、手部麻木、踩棉花感、颈肩疼痛、上肢放射痛、感觉障碍症状积分相比较,差异有显著性(P<0.05)。结论颈椎前路植骨融合术治疗脊髓型颈椎病术后固定牢固,并发症少,神经功能恢复得好。

Objective To observe the anterior cervical interbody fusion in the treatment efficacy of cervical spondylotic myelopathy. Methods By the diagnostic criteria for cervical spondylotic myelopathy, 198 cases were randomly divided into treatment group and control group, with 89 cases in each group. The treatment group were treated with anterior cervical fusion surgery, in the control group using posterior cervical laminectomy. After operation, external fixation was used for patients with neck circumference for 3 to 4 months. Results The two groups of spinal cord function of comparison, the best rate in the treatment group was 68.54%, 43.82% in control group, two groups had more significant difference （P〈0.05）; total effective rate of treatment was 90.9%, 81.8% in the control group, the two groups had statistical significance by comparison （P〈0.05）. Two groups after treatment in patients with neck discomfort, hand numbness, foot cotton flu, neck and shoulder pain, upper limb rediating pain, sensory disturbances compared symptom score, had significant differences （P〈0.05）. Conclusion The anterior cervical interbody fusion in the treatment of cervical spondylotic myelopathy after fixation has less complications and good recovery of neurological function.