Discover颈人工椎间盘置换术联合颈椎前路减压融合术治疗颈椎病的临床疗效

The clinic effect of discover cervical artificial disc replacement combined with anterior cervical decompression and fusion in treatment of cervical spondylosis

目的探讨分析Discover颈人工椎间盘置换术联合颈椎前路减压融合术的临床疗效。方法选择我院96例患者,将其随机均分为两组,实验组行Discover颈人工椎间盘置换术联和颈椎前路减压融合术治疗;对照组行颈椎前路减压融合术治疗,比较患者术后颈椎活动度、平均住院时间、术后颈椎固定时间、恢复正常活动时间以及患者临床疗效,并进行统计学分析。结果实验组患者术后颈椎平均活动度(44.6±4.7)°,明显高于对照组的(27.4±4.9)°,且P<0.05,差异具有统计学意义;实验组患者的平均住院时间、术后固定时间、恢复正常活动时间均短于对照组患者,且差异明显(P<0.05);实验组总有效率为97.9%,明显高于对照组的87.5%,且P<0.05,差异有统计学意义。结论 Discover颈人工椎间盘置换术联和颈椎前路减压融合术可以缩短平均住院时间、患者颈椎固定时间及恢复健康的时间,并可保证术后颈椎活动度在正常水平,增加了临床疗效。

Objective To explore the clinic effect of discover cervical artificial disc replacement combined with anterior cervical decompression and fusion in treatment of cervical spondylosis. Methods 96 patients were selected from our hospital,and the they were evenly divied into two group by random,experimental group patients were treated with discover cervical artificial disc replacement combined with anterior cervical decompression,the control group patients were treated with anterior cervical decompression and fusion.Compared and analyzed the two groups＇ cervical spine,the average hospital stay,postoperative cervical fixation time,normal activity recovery time and clinical effect after treatment. Results The experimental group＇s cervical average activity was（44.6±4.7） degree which was higher than control group,and the difference was significantly（P〈0.05）;The experimental group was shorter than control group in average hospital stay,postoperative cervical fixation time,normal activity recovery time,and the difference was significantly（P〈0.05）;Experimental group＇s total effective rate was 97.9% which was higher than the control group（87.5%）,and the difference was significantly（P〈0.05）. Conclusion Discover cervical artificial disc replacement combined with anterior cervical decompression and fusion can reduce the average hospital stay,postoperative cervical fixation time,normal activity recovery time,can ensure the patients＇ s cervical average activity to recover normal,and can improve the clinical effect.