SDS9900在神经根型颈椎病非手术治疗中的临床研究

Clinical Study on SDS9900 Spinal Decompression System in Non-Operative Therapy for Cervical Spondylotic Radiculopathy

目的观察和总结SDS9900脊柱减压系统在非手术治疗神经根型颈椎病的作用,为防治神经根颈椎病提供可行的治疗方案。方法对2012年1月至2015年1月在我院住院并进行神经根型颈椎病非手术治疗的共计106例患者进行回顾性分析。其中男61例,女45例;年龄26~67岁,平均(38.1±6.9岁)。按照接受牵引的方式分为实验组和对照组。实验组患者接受常规药物治疗与SDS9900脊柱减压系统治疗,对照组接受常规药物治疗与常规牵引治疗。观察至少12个月的患者治疗后随访资料,通过对受累节段的椎间隙高度、疼痛、颈椎功能(neck disability index,NDI)等指标对两组数据进行观察和比较。结果两组患者在治疗后的椎间隙高度较治疗前均有显著增高,且实验组的增高幅度较对照组有显著统计学差异(P<0.05);两组患者的治疗后视觉模拟评分(visual analogue scale,VAS)及NDI分值较治疗前均有明显降低,且实验组降低幅度均显著大于对照组(P<0.05)。所有患者中未出现并发症。结论使用SDS9900系统治疗神经根型颈椎病能够有效增加受累节段的椎间隙高度,有效减轻患者的疼痛并能改善颈椎功能,在临床工作中可以进一步的使用和推广。

Objective To study the clinical effect and safety of SDS9900 in non-operative therapy for patients with cervical spondylotic radiculopathy（CSR）.Methods We retrospectively reviewed 106 patients with CSR from 2012.1to2015.1which were divided into 2groups：treatment group and control group as the way of traction.The cases in treatment group（30cases）were treated with conventional drug therapy and non-surgical spinal decompression system of SDS9900 and those in control group were treated with conventional drug therapy and cervical traction.All patients received at least 12 months fellow-up.The clinical outcomes were evaluated by the height of intervertebral space,visual analogue scale（VAS）and NDI score.Results The height of intervertebral space in both groups broadened significantly after the treatment（P〈0.05）.The height of the treatment group broadened significantly after the treatment,comparing with those of the control group（P〈0.05）.The VAS and NDI score in both groups were significantly lower than that before the treatment（P〈0.05）.Comparing the VAS score and NDI index of the two groups after the treatment：the scores of the treatment group decreased more significantly than those of the control group（P〈0.05）.There was no complication in all patients.Conclusion The non-surgical spinal decompression system of SDS9900 can increase the height of intervertebral space in treating the cervical spondylotic radiculopathy,relieve the pain of neck effectively,and promote the recovery of cervical function.It should be further application and promotion in clinic.