交感型颈椎病低温等离子髓核成形手术疗效及相关影响因素分析

Efficacy and related influencing factors analysis of low temperature plasma nucleus pulposus forming operation in the treatment of sympathetic cervical spondylosis

目的:探讨低温等离子髓核成形手术治疗交感型颈椎病的效果。方法:收治交感型颈椎病患者77例,均采用低温等离子髓核成形术治疗,进行术后2个月17例患者,6个月42例患者,3年77例患者的随访调查。结果:77例患者共计426个症状,3年时优良率52.11%,改善率71.36%。17例患者术后2个月的优良率65.09%,改善率81.13%。42例患者术后6个月的优良率56.69%,改善率75.70%。术后6个月与3年的优良率与改善率对比,差异无统计学意义。术后2个月与3年的优良率与有效率对比,差异有统计学意义,术后2个月的疗效最好。不同节段治疗的优良率、改善率中,单节段优于双节段、双节段优于三节段、三节段优于四节段。不同年龄段优良率及改善率随年龄增长有所下降。虽然本组病例中男性疗效略优于女性,但疗效与性别无关。结论:低温等离子髓核成形术治疗交感型颈椎病具有高疗效、微创,并能迅速缓解病情、长期维持疗效的优点;疗效与患者的年龄、治疗的节段数相关,与性别无关。

Objective:To explore the efficacy of low temperature plasma nucleus pulposus forming operation in the treatment ofsympathetic cervical spondylosis.Methods:77 patients with sympathetic cervical spondylosis were selected,they were treated withlow temperature plasma nucleus pulposus forming operation,17 patients were followed up for 2 months,42 patients were followedup for 6 months,77 patients were followed up for 3 years.Results:In 77 patients,there were 426 symptoms,at the 3 years,theexcellent and good rate was 52.11%,the improvement rate was 71.36%.In 17 patients,at 2 months after operation,the excellent andgood rate was 65.09%,the improvement rate was 81.13%.In 42 patients,at 6 months after operation,the excellent and good rate was56.69%,the improvement rate was 75.70%.There was no obvious difference in the excellent and good rate and improvement ratebetween 6 months and 3 years after operation.There was obvious difference in the excellent and good rate and improvement ratebetween 2 months and 3 years after operation,the clinical effect was the best at 2 months after operation.In the excellent and goodrate and improvement rate of different segments,single segment was better than double segment,double segments was better thanthree segments,three segments was better than four segments.In different age groups,the excellent and good rate and improvementrate were decreased with age growth.In this group,although the efficacy of men was slightly better than women,but the efficacy wasnot related to gender.Conclusion:The efficacy of low temperature plasma nucleus pulposus forming operation in the treatment ofsympathetic cervical spondylosis was better,the wound was small,and it can quickly ease the disease,chronically maintain theeffect.Efficacy was associated with the age of patients and the number of treatment segments,and it was not related to sex.