经皮颈椎间盘激光汽化减压术治疗不同类型颈椎病的疗效

Efficacy of percutaneous laser disc decompression in the treatment of patients with different types of cervical spondylopathy

目的 探讨经皮椎间盘汽化减压术（PLDD）治疗不同类型颈椎病的效果.方法 颈椎病患者276例行经皮椎间盘汽化减压术.于治疗前、治疗后即刻及治疗后6、12个月时采用日本骨科学会颈椎病疗效标准评估功能改善程度,并评价不同颈椎病类型的治疗效果.结果 治疗后12个月时疗效优、良、可、差依次为46.4％（128/276例）、30.8％（85/276例）、13.0％（36/276例）、9.8％（27/276例）;不同分型之间疗效差异有统计学意义（P＜0.05）;治疗后JOA评分均较治疗前升高（P＜0.05）,治疗后6、12个月时JOA评分较治疗后即刻升高（P＜0.05）.结论 经皮椎间盘汽化减压术可有效治疗颈椎病,但应注意掌握不同类型的适应证.

Objective To evaluate the efficacy of percutaneous laser disc decompression （PLDD） for the treatment of patients with different types of cervical spondylopathy. Methods Two hundred and seventy six patients with cervical spondylopathy were performed with percutaneous laser disc decompression （PLDD） surgery. The efficacy was evaluated before surgery, immediately after the surgery and at 6, 12 months after the surgery according to Japanese Orthopaedic Association Scores for Assessment of Cervical Myelopathy （JOA）. Results The excellent, good, middle and poor effects were 46.4% （128/276 cases）, 30.8% （85/276 cases）, 13.0K （36/276 cases）, 9.8% （27/276 cases） respectively. There were significant differences in effects with different types of cer- vical spondylopathy （P^0.05）. Compared with pre-surgery, JOA was significantly increased after the surgery （P^0.05）, which was significantly higher at 6, 12 months after the surgery than that at immediately after the surgery （P 〈 0.05）. Conclusion Percutaneous laser disc decompression （PLDD） surgery was effective for the treatment of patients with cervical spondylopathy, however, more attentions should be paid to the surgery indications of different types.