Non-melanoma skin cancers or keratinocyte cancers such as basal cell carcinoma and squamous cell carcinoma make up approximately 80% and 20% respectively, of skin cancers with the 6 million people that are treated ann...Non-melanoma skin cancers or keratinocyte cancers such as basal cell carcinoma and squamous cell carcinoma make up approximately 80% and 20% respectively, of skin cancers with the 6 million people that are treated annually in the United States. 1 in 5 Americans and 2 in 3 Australians develop skin cancer by the age of 70 years and in Australia it is the most expensive, amassing $1.5 billion, to treat cancers. Non-melanoma skin cancers are often self-detected and are usually removed by various means in doctors’ surgeries. Mohs micrographic surgery is acclaimed to be the gold standard for the treatment of skin cancer. However, a novel microscopic molecular-cellular non-invasive topical therapy described in this article, challenges the status of Mohs procedure for being the acclaimed gold standard.展开更多
AIM:To establish a recording system with a direct view of the surgeon to supplement video recording under an operating microscope,which lacks information on the movement and position of the surgeon’s hands,and to fac...AIM:To establish a recording system with a direct view of the surgeon to supplement video recording under an operating microscope,which lacks information on the movement and position of the surgeon’s hands,and to facilitate the reproduction of a skilled surgeon’s technique by a surgeon in training.METHODS:A small camera was attached to the operating microscope with a custom adapter.Microscopic surgeon’s view and direct surgeon’s view through this new camera were recorded in the surgical recording system.Both movies were synchronized and analyzed how do surgeons handle the instruments.RESULTS:A small camera attached to the operating microscope allowed the surgeon’s hands motion to be recorded without interfering with the surgeon’s movements.Different surgeons used different methods to manipulate the ultrasound handpiece and the irrigation/aspiration device.Even in the simple paracentesis procedure,different surgeons used different methods.Surgeons-in-training were able to identify and improve their weaknesses by watching synchronized movies of their hand motions and microscopic view.CONCLUSION:Simultaneous recording the surgical field out of the operating microscopic view by a small camera set on the microscope is comprehensive and improves surgeons-in-training understanding and learning surgeries.展开更多
<strong>Background:</strong> Advances in the era of modern micro-neurosurgery enabled a reduction of surgical invasiveness and brain retraction which has been defined as minimally invasive or keyhole surge...<strong>Background:</strong> Advances in the era of modern micro-neurosurgery enabled a reduction of surgical invasiveness and brain retraction which has been defined as minimally invasive or keyhole surgery. Sinonasal endoscopy has brought radical changes in the concepts of pathophysiology and treatment of sinonasal aliments as well as surgical techniques. <strong>Aim of the Study:</strong> To compare between the use of endoscopic and microscopic trans-sphenoidal approach in resection of growth hormone-secreting pituitary adenomas with Suprasellar Extension. <strong>Patients and Methods:</strong> This is a prospective study. It had been conducted upon 20 patients having growth hormone secreting pituitary adenoma admitted to Neurosurgery department in Alzar University hospitals and Nasr City Insurance hospital from 2015 to 2018, divided into 2 groups;group A (10 cases) underwent endoscopic endonasal trans-sphenoidal pituitary adenoma resection, while group B (10 cases) operated upon using the standard microscopic trans-sphenoidal pituitary adenoma resection. The inclusion criteria were included: All patients with growth hormone secreting pituitary adenomas showing manifestations of acromegaly, mass effect or hormonal disturbance. <strong>Results:</strong> This study showed that improvement in outcome was higher in endoscopic group opposed to microscopic group (100% vs. 71% improved headache, 80% vs. 60% visual improvement, 75% vs. 20% fundus improvement and 60% vs. 30% field improvement).<strong> Conclusion:</strong> We concluded that fully endoscopic procedure result in improved rates of complete tumor removal and a reduced incidence of complications, when compared to the microscopic approach.展开更多
BACKGROUND The use of advanced platelet-rich fibrin(A-PRF)membranes for guided bone and tissue regeneration in through-and-through defects after endodontic surgery was explored in three cases.CASE SUMMARY Herein,three...BACKGROUND The use of advanced platelet-rich fibrin(A-PRF)membranes for guided bone and tissue regeneration in through-and-through defects after endodontic surgery was explored in three cases.CASE SUMMARY Herein,three patients presented to the endodontic clinic suffering from apical periodontitis,associated with large bone resorption and related to previously endodontically treated teeth.Periapical surgery was indicated in these cases and the osteotomy site was covered by A-PRF membrane.Cone-beam computed tomography(CBCT)was used to assess the cases before and after the surgery.CONCLUSION Four months post-surgery,the recall CBCT scan showed complete obliteration of the osteotomy with newly formed bone.A-PRF membrane showed promising results and was an advantageous addition to surgical endodontic treatment.展开更多
目的:观察iRoot BP plus盖髓治疗恒牙深龋3年后的临床疗效,探讨此类治疗方法的可行性及影响因素。方法:选取2019年1月至2020年9月于我科就诊,诊断为深龋或可复性牙髓炎成熟恒牙112颗,在牙科手术显微镜下选择性去龋后完成盖髓治疗,随访3...目的:观察iRoot BP plus盖髓治疗恒牙深龋3年后的临床疗效,探讨此类治疗方法的可行性及影响因素。方法:选取2019年1月至2020年9月于我科就诊,诊断为深龋或可复性牙髓炎成熟恒牙112颗,在牙科手术显微镜下选择性去龋后完成盖髓治疗,随访3年,通过影像学检查及临床指标评估患牙治疗效果。采用Kaplan-Meier生存分析统计活髓生存率,采用χ^(2)检验分析各个变量对疗效的影响。结果:Kaplan-Meier生存曲线显示112例成熟恒牙盖髓术后3年生存率为91.1%,82例患牙行间接盖髓术,30例患牙去龋时露髓行直接盖髓术,3年生存率分别为92.7%与86.7%。盖髓疗效与性别、年龄、术前诊断、牙型(前牙、前磨牙、磨牙)、洞形(Ⅰ类洞、Ⅱ类洞、Ⅲ类洞)、牙位及盖髓方式无相关性(P>0.05)。结论:iRoot BP plus作为盖髓剂对诊断为深龋或可复性牙髓炎的成熟恒牙行盖髓治疗疗效良好,研究变量对预后均无显著影响。展开更多
Mineral trioxide aggregate（MTA） is considered at the present time as the gold standard for root-end filling in endodontic surgery.However, this biocompatible material presents several drawbacks such as a long settin...Mineral trioxide aggregate（MTA） is considered at the present time as the gold standard for root-end filling in endodontic surgery.However, this biocompatible material presents several drawbacks such as a long setting time and handling difficulties. The aim of this article is to present a new commercialized calcium silicate-based material named Biodentine with physical improved properties compared to MTA in a clinical application. Two endodontic microsurgeries were performed by using specific armamentarium（microsurgical instrumentation, ultrasonic tips） under high-power magnification with an operatory microscope. Biodentine was used as a root-end filling in order to seal the root canal system. The two cases were considered completely healed at 1 year and were followed for one more year. The 2-year follow-up consolidated the previous observation with absence of clinical symptoms and radiographic evidence of regeneration of the periapical tissues.展开更多
目的:探讨iRoot BP plus与MTA根尖屏障术治疗年轻恒牙慢性根尖周炎的效果。方法:将122例年轻恒牙慢性根尖周炎患者随机分为试验组(n=61,患牙61颗)和对照组(n=61,患牙61颗),试验组行iRoot BP plus根尖屏障术,对照组行MTA根尖屏障术,比较...目的:探讨iRoot BP plus与MTA根尖屏障术治疗年轻恒牙慢性根尖周炎的效果。方法:将122例年轻恒牙慢性根尖周炎患者随机分为试验组(n=61,患牙61颗)和对照组(n=61,患牙61颗),试验组行iRoot BP plus根尖屏障术,对照组行MTA根尖屏障术,比较2组患者术后3、6、9、12个月的旧根尖周指数(old periapical index,O-PAI)、根尖透射区面积、疗效、治疗次数、炎症因子水平。采用SPSS 19.0软件包对数据进行统计学分析。结果:术后12个月,试验组和对照组的O-PAI评级为(1.48±0.36)、(1.71±0.42),根尖透射区面积为(0.51±0.14)、(1.09±0.31),2组O-PAI评级和根尖透射区面积相比差异显著(P<0.05)。术后3、6、12个月,2组患者的O-PAI评级逐渐降低(P<0.05),根尖透射区面积逐渐减少(P<0.05)。术后12个月,试验组和对照组的成功率为98.36%、88.52%,组间差异显著(P<0.05)。试验组和对照组患者的治疗次数为(3.64±0.58)、(4.72±0.61)次,组间差异显著(P<0.05)。术后3个月,试验组和对照组患者的血清hs-CRP水平为(6.89±1.13)、(7.25±1.40)mg/L,与治疗前相比差异显著(P<0.05);治疗3个月后,试验组和对照组患者的血清IL-6水平为(82.04±19.62)、(87.52±20.85)mg/L,与治疗前相比差异显著(P<0.05)。2组患者治疗前、后的血清IL-6、hs-CRP水平组间相比,差异无显著性(P>0.05)。结论:iRoot BP plus根尖屏障术治疗年轻恒牙慢性根尖周炎有助于降低O-PAI指数,减少术后就诊次数,术后成功率更高。展开更多
Aim: To compare between classic open surgeries and minimally invasive surgeries in Lumbar Spinal Stenosis. Methods: A comparative descriptive study, involved 117 patients suffering from lumbar canal stenosis, aged bet...Aim: To compare between classic open surgeries and minimally invasive surgeries in Lumbar Spinal Stenosis. Methods: A comparative descriptive study, involved 117 patients suffering from lumbar canal stenosis, aged between 40 - 70 years;admitted to department of Neurosurgery from March 2011 till august 2016 in King Fahad Hospital in Saudi Arabia. Study groups are consisted of group A as patients managed with classical laminectomy, group B as patients managed with endoscopic spinal procedures and group C as patients managed with microscopic decompression facilitated by the Metrex Tubular System. SPSS was used in data entry and analysis, and ethical considerations taken into consideration and participants filled the required inform consents. Results: Age of particaoncet ranged from 45 - 63 years, Mean +/‒50. The degenerative canal stenosis with acute disc single level (cauda equina syndrome) was the most common type of lumbar canal stenosis encountered in group A;the unilateral foraminal and lateral recess stenosis without disc prolapse was the most common type of lumbar canal stenosis encountered in group B;while the unilateral foraminal and lateral recess stenosis without disc prolapse was the most common type of lumbar canal stenosis encountered in group C. Classic laminectomy and disectomy used mostly in group A;endoscopic unilateral decompression lamino-foraminotomy without discectomy used mostly in group B and bilateral microscopic laminectomy without discectomy followed by unilateral microscopic laminoforaminotomy without discectomy used mostly in group C. Mean of operation duration was the highest in both gender of group A, followed by group B, then group C. Unintended durotomy was the most common intra operative complications occurred in the whole study especially in group A. Mean of blood lost was the highest in both gender of group A, followed by group B, then group C. Postop complications in the patients of study groups were the highest in group A (33.3%), followed by group B (8.5%) and then group C (2%). Conclusion: Microscopic decompression facilitated by the Metrex Tubular System is the most effective technique of Surgery for Lumbar Spinal Stenosis and the least intra-operative and post-operative complications.展开更多
目的观察显微根尖手术对根尖周炎的治疗效果。方法回顾性选取2019年1月至2023年1月在绍兴市口腔医院诊治的根尖周炎患者75例。其中38例患者行显微根尖手术治疗,为观察组;另37例患者行传统根尖手术治疗,为对照组。比较两组患者术后7 d疼...目的观察显微根尖手术对根尖周炎的治疗效果。方法回顾性选取2019年1月至2023年1月在绍兴市口腔医院诊治的根尖周炎患者75例。其中38例患者行显微根尖手术治疗,为观察组;另37例患者行传统根尖手术治疗,为对照组。比较两组患者术后7 d疼痛发生情况、术后并发症发生情况、术前和术后7 d牙周指标,包括菌斑指数(PLI)、牙龈出血指数(GBI)和牙周袋探诊深度(PD);比较两组患者术后12个月疗效。结果观察组患者术后7 d疼痛发生率低于对照组(7.89%比27.03%,P<0.05),术后并发症发生率小于对照组(7.89%比37.84%,P<0.05)。两组患者术后7 d PLI、GBI和PD均低于术前(均P<0.05),且观察组患者术后7 d PLI、GBI和PD均低于对照组(均P<0.05)。观察组患者术后12个月治疗总有效率高于对照组(97.37%比78.38%,P<0.05)。结论显微根尖手术治疗根尖周炎效果显著,且可显著改善牙周指标,降低术后疼痛和并发症发生风险,值得临床推广应用。展开更多
目的探究显微镜辅助颈椎前路减压内固定融合术(anterior cervical decompression and fusion,ACDF)在颈椎病治疗中的效果。方法回顾性分析烟台业达医院2019年2月~2020年6月收治的78例颈椎病患者资料,按手术方式的不同分成A、B组。A组38...目的探究显微镜辅助颈椎前路减压内固定融合术(anterior cervical decompression and fusion,ACDF)在颈椎病治疗中的效果。方法回顾性分析烟台业达医院2019年2月~2020年6月收治的78例颈椎病患者资料,按手术方式的不同分成A、B组。A组38例实施标准开放ACDF治疗,B组40例实施显微镜辅助ACDF。观察并记录两组手术参数,统计并发症发生情况,采用数字分级评分法(numerical rating scale,NRS)、日本骨科协会评分(Japanese orthopaedic association score,JOA)分别对两组术前、术后1年的疼痛度、颈椎神经功能进行评定,测量颈椎Cobb角,并计算颈椎神经功能改善率。结果B组手术用时、术中失血量均较A组少(P<0.05),术后住院时间组间比较无统计学差异(P>0.05);A组发生2例脑脊液漏,B组无并发症发生,组间比较无统计学差异(P>0.05);与同组术前相比,两组术后1年NRS、JOA评分、颈椎Cobb角均明显改善(P<0.05),而组间上述指标比较均无统计学差异(P>0.05);A组颈椎神经功能改善率89.47%与B组的92.50%相比,无统计学差异(P>0.05)。结论对颈椎病患者实施显微镜辅助ACDF的治疗效果较好,且具有手术用时短、术中失血量少等优势。展开更多
文摘Non-melanoma skin cancers or keratinocyte cancers such as basal cell carcinoma and squamous cell carcinoma make up approximately 80% and 20% respectively, of skin cancers with the 6 million people that are treated annually in the United States. 1 in 5 Americans and 2 in 3 Australians develop skin cancer by the age of 70 years and in Australia it is the most expensive, amassing $1.5 billion, to treat cancers. Non-melanoma skin cancers are often self-detected and are usually removed by various means in doctors’ surgeries. Mohs micrographic surgery is acclaimed to be the gold standard for the treatment of skin cancer. However, a novel microscopic molecular-cellular non-invasive topical therapy described in this article, challenges the status of Mohs procedure for being the acclaimed gold standard.
文摘AIM:To establish a recording system with a direct view of the surgeon to supplement video recording under an operating microscope,which lacks information on the movement and position of the surgeon’s hands,and to facilitate the reproduction of a skilled surgeon’s technique by a surgeon in training.METHODS:A small camera was attached to the operating microscope with a custom adapter.Microscopic surgeon’s view and direct surgeon’s view through this new camera were recorded in the surgical recording system.Both movies were synchronized and analyzed how do surgeons handle the instruments.RESULTS:A small camera attached to the operating microscope allowed the surgeon’s hands motion to be recorded without interfering with the surgeon’s movements.Different surgeons used different methods to manipulate the ultrasound handpiece and the irrigation/aspiration device.Even in the simple paracentesis procedure,different surgeons used different methods.Surgeons-in-training were able to identify and improve their weaknesses by watching synchronized movies of their hand motions and microscopic view.CONCLUSION:Simultaneous recording the surgical field out of the operating microscopic view by a small camera set on the microscope is comprehensive and improves surgeons-in-training understanding and learning surgeries.
文摘<strong>Background:</strong> Advances in the era of modern micro-neurosurgery enabled a reduction of surgical invasiveness and brain retraction which has been defined as minimally invasive or keyhole surgery. Sinonasal endoscopy has brought radical changes in the concepts of pathophysiology and treatment of sinonasal aliments as well as surgical techniques. <strong>Aim of the Study:</strong> To compare between the use of endoscopic and microscopic trans-sphenoidal approach in resection of growth hormone-secreting pituitary adenomas with Suprasellar Extension. <strong>Patients and Methods:</strong> This is a prospective study. It had been conducted upon 20 patients having growth hormone secreting pituitary adenoma admitted to Neurosurgery department in Alzar University hospitals and Nasr City Insurance hospital from 2015 to 2018, divided into 2 groups;group A (10 cases) underwent endoscopic endonasal trans-sphenoidal pituitary adenoma resection, while group B (10 cases) operated upon using the standard microscopic trans-sphenoidal pituitary adenoma resection. The inclusion criteria were included: All patients with growth hormone secreting pituitary adenomas showing manifestations of acromegaly, mass effect or hormonal disturbance. <strong>Results:</strong> This study showed that improvement in outcome was higher in endoscopic group opposed to microscopic group (100% vs. 71% improved headache, 80% vs. 60% visual improvement, 75% vs. 20% fundus improvement and 60% vs. 30% field improvement).<strong> Conclusion:</strong> We concluded that fully endoscopic procedure result in improved rates of complete tumor removal and a reduced incidence of complications, when compared to the microscopic approach.
基金Supported by the Princess Nourah Bint Abdulrahman University Researchers Supporting Project,No.PNURSP2023R363.
文摘BACKGROUND The use of advanced platelet-rich fibrin(A-PRF)membranes for guided bone and tissue regeneration in through-and-through defects after endodontic surgery was explored in three cases.CASE SUMMARY Herein,three patients presented to the endodontic clinic suffering from apical periodontitis,associated with large bone resorption and related to previously endodontically treated teeth.Periapical surgery was indicated in these cases and the osteotomy site was covered by A-PRF membrane.Cone-beam computed tomography(CBCT)was used to assess the cases before and after the surgery.CONCLUSION Four months post-surgery,the recall CBCT scan showed complete obliteration of the osteotomy with newly formed bone.A-PRF membrane showed promising results and was an advantageous addition to surgical endodontic treatment.
文摘目的:观察iRoot BP plus盖髓治疗恒牙深龋3年后的临床疗效,探讨此类治疗方法的可行性及影响因素。方法:选取2019年1月至2020年9月于我科就诊,诊断为深龋或可复性牙髓炎成熟恒牙112颗,在牙科手术显微镜下选择性去龋后完成盖髓治疗,随访3年,通过影像学检查及临床指标评估患牙治疗效果。采用Kaplan-Meier生存分析统计活髓生存率,采用χ^(2)检验分析各个变量对疗效的影响。结果:Kaplan-Meier生存曲线显示112例成熟恒牙盖髓术后3年生存率为91.1%,82例患牙行间接盖髓术,30例患牙去龋时露髓行直接盖髓术,3年生存率分别为92.7%与86.7%。盖髓疗效与性别、年龄、术前诊断、牙型(前牙、前磨牙、磨牙)、洞形(Ⅰ类洞、Ⅱ类洞、Ⅲ类洞)、牙位及盖髓方式无相关性(P>0.05)。结论:iRoot BP plus作为盖髓剂对诊断为深龋或可复性牙髓炎的成熟恒牙行盖髓治疗疗效良好,研究变量对预后均无显著影响。
文摘Mineral trioxide aggregate（MTA） is considered at the present time as the gold standard for root-end filling in endodontic surgery.However, this biocompatible material presents several drawbacks such as a long setting time and handling difficulties. The aim of this article is to present a new commercialized calcium silicate-based material named Biodentine with physical improved properties compared to MTA in a clinical application. Two endodontic microsurgeries were performed by using specific armamentarium（microsurgical instrumentation, ultrasonic tips） under high-power magnification with an operatory microscope. Biodentine was used as a root-end filling in order to seal the root canal system. The two cases were considered completely healed at 1 year and were followed for one more year. The 2-year follow-up consolidated the previous observation with absence of clinical symptoms and radiographic evidence of regeneration of the periapical tissues.
文摘目的:探讨iRoot BP plus与MTA根尖屏障术治疗年轻恒牙慢性根尖周炎的效果。方法:将122例年轻恒牙慢性根尖周炎患者随机分为试验组(n=61,患牙61颗)和对照组(n=61,患牙61颗),试验组行iRoot BP plus根尖屏障术,对照组行MTA根尖屏障术,比较2组患者术后3、6、9、12个月的旧根尖周指数(old periapical index,O-PAI)、根尖透射区面积、疗效、治疗次数、炎症因子水平。采用SPSS 19.0软件包对数据进行统计学分析。结果:术后12个月,试验组和对照组的O-PAI评级为(1.48±0.36)、(1.71±0.42),根尖透射区面积为(0.51±0.14)、(1.09±0.31),2组O-PAI评级和根尖透射区面积相比差异显著(P<0.05)。术后3、6、12个月,2组患者的O-PAI评级逐渐降低(P<0.05),根尖透射区面积逐渐减少(P<0.05)。术后12个月,试验组和对照组的成功率为98.36%、88.52%,组间差异显著(P<0.05)。试验组和对照组患者的治疗次数为(3.64±0.58)、(4.72±0.61)次,组间差异显著(P<0.05)。术后3个月,试验组和对照组患者的血清hs-CRP水平为(6.89±1.13)、(7.25±1.40)mg/L,与治疗前相比差异显著(P<0.05);治疗3个月后,试验组和对照组患者的血清IL-6水平为(82.04±19.62)、(87.52±20.85)mg/L,与治疗前相比差异显著(P<0.05)。2组患者治疗前、后的血清IL-6、hs-CRP水平组间相比,差异无显著性(P>0.05)。结论:iRoot BP plus根尖屏障术治疗年轻恒牙慢性根尖周炎有助于降低O-PAI指数,减少术后就诊次数,术后成功率更高。
文摘Aim: To compare between classic open surgeries and minimally invasive surgeries in Lumbar Spinal Stenosis. Methods: A comparative descriptive study, involved 117 patients suffering from lumbar canal stenosis, aged between 40 - 70 years;admitted to department of Neurosurgery from March 2011 till august 2016 in King Fahad Hospital in Saudi Arabia. Study groups are consisted of group A as patients managed with classical laminectomy, group B as patients managed with endoscopic spinal procedures and group C as patients managed with microscopic decompression facilitated by the Metrex Tubular System. SPSS was used in data entry and analysis, and ethical considerations taken into consideration and participants filled the required inform consents. Results: Age of particaoncet ranged from 45 - 63 years, Mean +/‒50. The degenerative canal stenosis with acute disc single level (cauda equina syndrome) was the most common type of lumbar canal stenosis encountered in group A;the unilateral foraminal and lateral recess stenosis without disc prolapse was the most common type of lumbar canal stenosis encountered in group B;while the unilateral foraminal and lateral recess stenosis without disc prolapse was the most common type of lumbar canal stenosis encountered in group C. Classic laminectomy and disectomy used mostly in group A;endoscopic unilateral decompression lamino-foraminotomy without discectomy used mostly in group B and bilateral microscopic laminectomy without discectomy followed by unilateral microscopic laminoforaminotomy without discectomy used mostly in group C. Mean of operation duration was the highest in both gender of group A, followed by group B, then group C. Unintended durotomy was the most common intra operative complications occurred in the whole study especially in group A. Mean of blood lost was the highest in both gender of group A, followed by group B, then group C. Postop complications in the patients of study groups were the highest in group A (33.3%), followed by group B (8.5%) and then group C (2%). Conclusion: Microscopic decompression facilitated by the Metrex Tubular System is the most effective technique of Surgery for Lumbar Spinal Stenosis and the least intra-operative and post-operative complications.
文摘目的观察显微根尖手术对根尖周炎的治疗效果。方法回顾性选取2019年1月至2023年1月在绍兴市口腔医院诊治的根尖周炎患者75例。其中38例患者行显微根尖手术治疗,为观察组;另37例患者行传统根尖手术治疗,为对照组。比较两组患者术后7 d疼痛发生情况、术后并发症发生情况、术前和术后7 d牙周指标,包括菌斑指数(PLI)、牙龈出血指数(GBI)和牙周袋探诊深度(PD);比较两组患者术后12个月疗效。结果观察组患者术后7 d疼痛发生率低于对照组(7.89%比27.03%,P<0.05),术后并发症发生率小于对照组(7.89%比37.84%,P<0.05)。两组患者术后7 d PLI、GBI和PD均低于术前(均P<0.05),且观察组患者术后7 d PLI、GBI和PD均低于对照组(均P<0.05)。观察组患者术后12个月治疗总有效率高于对照组(97.37%比78.38%,P<0.05)。结论显微根尖手术治疗根尖周炎效果显著,且可显著改善牙周指标,降低术后疼痛和并发症发生风险,值得临床推广应用。
文摘目的探究显微镜辅助颈椎前路减压内固定融合术(anterior cervical decompression and fusion,ACDF)在颈椎病治疗中的效果。方法回顾性分析烟台业达医院2019年2月~2020年6月收治的78例颈椎病患者资料,按手术方式的不同分成A、B组。A组38例实施标准开放ACDF治疗,B组40例实施显微镜辅助ACDF。观察并记录两组手术参数,统计并发症发生情况,采用数字分级评分法(numerical rating scale,NRS)、日本骨科协会评分(Japanese orthopaedic association score,JOA)分别对两组术前、术后1年的疼痛度、颈椎神经功能进行评定,测量颈椎Cobb角,并计算颈椎神经功能改善率。结果B组手术用时、术中失血量均较A组少(P<0.05),术后住院时间组间比较无统计学差异(P>0.05);A组发生2例脑脊液漏,B组无并发症发生,组间比较无统计学差异(P>0.05);与同组术前相比,两组术后1年NRS、JOA评分、颈椎Cobb角均明显改善(P<0.05),而组间上述指标比较均无统计学差异(P>0.05);A组颈椎神经功能改善率89.47%与B组的92.50%相比,无统计学差异(P>0.05)。结论对颈椎病患者实施显微镜辅助ACDF的治疗效果较好,且具有手术用时短、术中失血量少等优势。
