微创治疗椎动脉型颈椎病临床分析

Clinical analysis of minimally invasive method in the treatment of cervical spondylosis of vertebral artery type

目的探讨椎动脉型颈椎病的微创临床疗效。方法对2009年3月～2011年11月我科收治的26例椎动脉型颈椎病给予微创经皮针刀铲剥松解治疗患者的资料进行回顾性分析。结果本组共23例获得随访,时间6～28个月,平均18个月。优:13例为56.5%,良:8例为34.8%,可:2例为8.7%,差:0例;优良率为91.3%。结论微创针刀经皮铲剥松解治疗椎动脉型颈椎病,使椎动脉受压得到不同程度的缓解,使大脑供血不足造成的眩晕等临床症状得到解除。在解剖熟悉的情况下,操作简单,安全有效,值得临床推广应用。

Objective To investigate clinical curative effect of minimally invasive method in the treatment of cervical spondylosis of vertebral artery type（CSA）.Methods 26 cases of CSA from March 2009 to November 2011 adopted in our department all underwent minimally invasive percutaneous acupotomy and were retrospectively analyzed.Results 23 patients of the group were followed up in a period of 6 months-28 months（an average of 18 months）.The excellent rate was 56.5%（13/23）,the fine rate was 34.8%（8/23） and the acceptable rate 8.7%（2/23）.No poor case occurred.All together the excellent and fine rates came to 91.3%.Conclusion The treatment of CSA through minimally percutaneous acupotomy can ease to some extent the vertebral artery compression so that the clinical symptoms such as vertigo caused by insufficient blood supply can be relieved.Once familiar with anatomy,one can conduct the operation easily and benefit a lot from its safety and efficiency.It is a clinical application worth to be recommended.