零切迹颈前路颈椎椎间融合内固定系统与传统固定系统治疗颈椎病临床疗效比较

Comparison of Clinical Efficacy between the Zero-notch Anterior Cervical Cervical Interbody Fusion and Internal Fixation System and the Traditional Fixation System in the Treatment of Patients with Cervical Spondylosis

目的零切迹颈前路颈椎椎间融合内固定系统(Zero-p)与传统钢板固定系统(CLCP)治疗颈椎病(CS)患者临床疗效比较。方法选取2018年12月至2020年12月在本院确诊的100例CS患者,运用随机数表法将CS患者分为观察组和对照组,每组各50例。观察组患者采用Zero-p融合术,对照组采用CLCP手术。比较两组Zero-p融合术和CLCP手术时间、术中出血量、术后住院时间、日本骨科协会(JOA)评分、颈椎曲度值。记录两组CS患者手术后吞咽困难发生情况。结果观察组Zero-p融合术的时间和术中出血量低于对照组CLCP手术;两组患者术前、术后3个月、终末随访的JOA和颈椎曲度值比较差异无统计学意义(P>0.05);观察组术后发生吞咽困难5例(10.00%),对照组术后发生吞咽困难16例(32.00%),观察组术后吞咽困难的发生率比对照组低(χ^(2)=7.294,P=0.007)。结论Zero-p与传统固定系统在治疗CS时均疗效可靠,但Zero-p可以缩短手术时间,减少失血量,降低术后吞咽困难发生。

Objective To compare the clinical efficacy of zero-notch anterior cervical cervical fusion internal fixation system(Zero-p)and traditional plate fixation system(CLCP)in the treatment of patients with cervical spondylosis(CS).Methods A total of 100 patients with CS who were diagnosed in our hospital from December 2018 to December 2020 were selected,and the CS patients were divided into an observation group and a control group using a random number table method,with 50 cases in each group.The observation group was treated with Zero-p fusion,and the control group was treated with CLCP.Compare the two groups of Zero-p fusion and CLCP operation time,intraoperative blood loss,postoperative hospital stay,Japanese Orthopaedic Association(JOA)score,cervical spine curvature value.The occurrence of dysphagia after surgery in the two groups of CS patients was recorded.Results The Zero-p fusion operation time and intraoperative blood loss in the observation group were lower than those in the control group CLCP operation(P<0.05);the comparison of JOA and cervical curvature between the two groups before operation,3 months after operation,and final follow-up There was no statistical difference(P>0.05);5 cases(10.00%)had dysphagia in the observation group,and 16 cases(32.00%)in the control group had dysphagia after the operation.The incidence of dysphagia in the observation group was higher than that in the control group.Low(χ^(2)=7.294,P=0.007).Conclusion Zero-p and traditional fixation systems are both reliable in the treatment of CS,but Zero-p can shorten the operation time,reduce blood loss,and reduce the occurrence of postoperative dysphagia.