颈椎源性眩晕的手术治疗:文献分析与临床应用

Therapeutic effect of the surgical treatment for cervical vertigo:an analysis by bibliometric and clinical experience

目的利用文献计量学方法结合临床探讨颈椎源性眩晕的手术治疗方法及其发展趋势。方法用电子检索方式来分析CNKI数据库学术期刊1975-2016年所收录与颈椎源性眩晕手术治疗有关的文献,采用检索词主要为:"颈椎;眩晕;手术治疗"。采用Excel软件图表的功能及数据库的分析功能用以分析数据特征。结合2009年1月至2014年12月在重庆医科大学附属第一医院骨科进行颈椎源性眩晕手术的患者50例,治疗方法为颈前路椎管减压,椎间融合器植入植骨融合内固定。结果根据CNKI学术期刊数据库1975-2016年所收录的文献中,检索到与颈椎源性眩晕手术治疗相关的研究共31篇文献,其数量处于上升趋势。总参考数77,总被引数318,总下载数3 504,篇均参考数2.48,篇均被引数10.26,篇均下载数113.03,下载被引比11.02。患者末次随访日本骨科协会评分(JOA)、健康调查简表评分(SF-36)、20分评分与术前比较,差异均有统计学意义(P<0.05)。结论颈椎源性眩晕的手术方式主要为颈前入路椎管减压,椎间融合器植入植骨融合内固定为主。当颈椎源性眩晕保守无明显效果后,手术治疗亦为较好的选择,然而需严格掌握手术适应症才能确保手术疗效。

Objective By bibliometric and clinical experience,to discuss the surgical treatment of cervical vertebra origin vertigo and its development trend.Methods By searching CNKI database from 1975 to 2016,and the literatures about surgical treatment for cervical vertebra origin vertigo were adopted.Key terms were：cervical vertebra;vertigo;surgical treatment.Data features were analyzed by using analysis function of database and functions of Excel software graph.And 50 cases with cervical vertebra origin vertigo were selected and analyzed that received treatment in department of orthopaedics of our hospital from 2009 to 2014 and the treatment methods were anterior cervical spinal canal decompression and interbody fusion cage implantation bone graft internal fixation.Results A total of 31 literatures related to surgical treatment for cervical vertebra origin vertigo were retrieved from academic journal of CNKI database from 1975 to 2016,and the literature number was on a rising trend.Reference data was 77,citation frequency was 318,download number was 3 504,reference number of each article was 2.48,citation number of each article was 10.26,download number of each article was 113.03 and the cited ratio was 11.02.Differences of scores of JOA,SF-36 and 20 scores had statistical significance when compared with before the surgical treatment（P〈0.05）.Conclusion The surgical treatments for cervical vertebra origin vertigo are mainly anterior cervical spinal canal decompression and interbody fusion cage implantation bone graft internal fixation.It could be concluded from literature analysis and follow-up results of patients that surgical treatment is a good choice when conservative treatment has no evident effect for cervical vertebra origin vertigo.However,operation indications must be strictly mastered to assure the surgical curative effect.