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微创Key-Hole手术与开放ACDF手术治疗神经根型颈椎病的疗效对比 被引量:2

Comparison of the efficacy of minimally invasive Key-Hole surgery and open ACDF surgery in the treatment of cervical spondylotic radiculopathy
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摘要 目的对比微创脊柱内镜下颈椎后路开窗减压髓核摘除术(Key-Hole)与开放颈椎前路椎间盘切除减压术(ACDF)治疗神经根型颈椎病(CSR)的疗效。方法选择2019年1—12月我院治疗的60例CSR患者,按随机数字表法将其分为2组各30例。对照组采用开放ACDF手术治疗,观察组采用微创Key-hole手术治疗,比较2组临床指标、疼痛程度及邻近节段活动度。结果观察组卧床及住院时间短于对照组,术中出血量少于对照组,术后视觉模拟评分法(VAS)评分及邻近上位、下位节段活动度低于对照组,日本骨科协会评估(JOA)评分高于对照组,均有统计学差异(P<0.05)。结论CSR患者采用微创Key-hole手术治疗是安全可行的,损伤小、疼痛轻,可满足患者早日下床活动,减少邻近关节退变,保护颈椎结构功能。 Objective To compare the treatment of cervical radiculopathy(CSR)with minimally invasive spinal endoscopy(Key-Hole)and open cervical anterior discectomy(ACDF)Curative effect.Methods Sixty CSR patients treated in our hospital from January to December 2019 were selected and divided into two groups according to the random number table method,with 30 cases in each group.The control group was treated with ACDF surgery,and the observation group was treated with posterior cervical Key-hole surgery.The clinical indicators,pain degree and mobility of adjacent segments were compared between the two groups.Results The observation group's bed rest and hospital stay were shorter than those of the control group,and the amount of intraoperative blood loss was less than that of the control group.The postoperative visual analogue scale(VAS)score and the activity of adjacent upper and lower segments were lower than those of the control group.The Japanese Orthopedic Association assessed JOA)score was higher than the control group,there was a statistical difference(P<0.05).Conclusion Minimally invasive Key-hole surgery for CSR patients is safe and feasible,with less injury and less pain,which can satisfy the patient's early getting out of bed,reduce the degeneration of adjacent joints,and protect the structure and function of the cervical spine.
作者 陶志强 周龙殿 吴康盛 吴庭胜 范少勇 Tao Zhiqiang;Zhou Longdian;Wu Kangsheng(The Hongdu Traditional Chinese Medicine Hospital of Nanchang City,Nanchang,Jiangxi 330000;The People's Hospital of Yongfeng County,Yongfeng,Jiangxi 331500)
出处 《基层医学论坛》 2021年第25期3600-3602,共3页 The Medical Forum
基金 江西省卫生健康委员会科技计划项目(20202017)。
关键词 神经根型颈椎病 微创Key-Hole手术 开放ACDF手术 疗效对比 Cervical radiculopathy Minimally invasive Key-Hole surgery Open ACDF surgery Curative effect
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