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颈前路椎间盘切除植骨融合治疗单节段颈椎间盘突出症的临床研究 被引量：2

Clinical Value of ACDF in Patients with Single-segment Cervical Disc Herniation
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摘要 目的:探讨颈前路椎间盘切除植骨融合术(ACDF)治疗单节段颈椎间盘突出对患者颈椎功能及预后影响。方法:选择单节段颈椎间盘突出症患者23例为研究对象,均给予ACDF治疗,观察治疗后优良率、颈椎关节JOA评分、疼痛评分、伤椎前缘高度百分比以及颈椎前凸Cobb角改善情况。结果:23例患者治疗后优良率为86.96%;术后1周、3个月以及末次随访VAS疼痛评分(3.23±1.58)分、(2.69±1.64)分、(1.94±0.12)分,椎前缘高度百分比(94.27±5.33)%、(92.64±5.83)%、(90.78±3.53)%,Cobb角(6.02±1.17)°、(7.72±1.42)°、(7.89±1.36)°,JOA评分(13.87±5.91)分、(14.66±5.23)分、(15.45±3.04)分,均优于治疗前VAS疼痛评分(7.13±2.97)分,椎前缘高度百分比(56.46±5.21)%,Cobb角(16.58±2.05)°,JOA评分(11.68±4.24)分,差异有统计学意义(P<0.05)。结论:采用ACDF治疗单节段颈椎间盘突出症患者,手术创伤小且能显著改善患者颈椎功能及活动评分,临床疗效较好,同时可以减轻其痛苦,并改善预后,有较好的应用价值。
作者 邵先矛 吴良发 成惠林 Shao Xianmao;Wu Liangfa;Cheng Huiling
机构地区 江苏省人民医院浦口分院神经外科 南京军区南京总医院神经外科研究所
出处 《长治医学院学报》 2018年第6期431-433,共3页 Journal of Changzhi Medical College
关键词 单节段 颈椎间盘突出症 ACDF 临床价值
分类号 R687.5 [医药卫生—骨科学]
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长治医学院学报
2018年 第6期

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