脊髓型颈椎间盘突出症的前路手术治疗

Treatment of spinal cord cervical disc herniation by anterior approach

目的探讨脊髓型颈椎间盘突出症采用前路手术的方法及临床疗效。方法 50例患者均经X线及MRI确诊,并行前路手术治疗,分别观察患者治疗前后JOA和CAS评分,并选取同类相关研究的疗效结果作为对照,比较本研究的治疗结果。结果患者治疗1个月时与术前比较,患者优良率为92%,JOA评分明显提高,VAS评分明显降低;最后1次随访与治疗1个月时比较,JOA评分明显提高,VAS评分明显降低;数据经统计学具有显著差异(P<0.05)。结论前路手术对脊髓型颈椎间盘突出症有较好的治疗效果,但提高疗效需医师进一步探讨和研究手术技巧。

Objective To evaluate the methods and clinical efficacy of spinal cervical disc herniation using the anterior approach.Methods Totally 50 patients were diagnosed by X-ray and MRI,parallel anterior surgery,patients were observed before and after the JOA and the CAS score,and selected the efficacy results of similar research as a control to compare treatment results of this study.Results The patients at 1 month compared with the preoperative,JOA score was significantly improved,VAS score was significantly reduced,last follow-up and treatment of 1 month compared to patients with significantly improved JOA score,VAS score was significantly reduced,data were statistically significant difference compared（P0.05）.Excellent study of this group was 92%.Conclusions Anterior cervical disc herniation of the spinal cord have a better therapeutic effect,but there is need for medical treatment to improve efficacy studies to further explore and surgical techniques.