[1]邱军荣 吴根发△ 陈超 黄丽莎 段虹.颈椎融合器与传统钛板融合器内固定治疗颈椎间盘突出症的临床疗效比较[J].中国中医骨伤科杂志,2021,29(06):74-77.
　QIU Junrong WU Genfa CHEN Chao HUANG Lisha DUAN Hong.Comparison on Clinical Efficacy of Locked Cervical Fusion Cage andTraditional Titanium Plate Fusion Cage Internal Fixationfor Single-Segment Cervical Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(06):74-77.
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颈椎融合器与传统钛板融合器内固定治疗颈椎间盘突出症的临床疗效比较()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年06期
页码:
74-77
栏目:
临床报道
出版日期:
2021-06-15

文章信息/Info

Title:
Comparison on Clinical Efficacy of Locked Cervical Fusion Cage andTraditional Titanium Plate Fusion Cage Internal Fixationfor Single-Segment Cervical Disc Herniation
文章编号:
1005-0205(2021)06-0074-04
作者:
邱军荣1 吴根发1△ 陈超1 黄丽莎1 段虹1
1中国人民解放军联勤保障部队第九〇八医院鹰潭医疗区骨科(江西 鹰潭,335000)
Author(s):
QIU Junrong1 WU Genfa1△ CHEN Chao1 HUANG Lisha1 DUAN Hong1
1Department of Orthopedics,The 908th Hospital of Joint Logistic Support Force of CPLA,Yingtan 335000,Jiangxi China.
关键词:
锁定式颈椎融合器;  传统钛板融合器;  颈椎间盘突出症;  临床疗效
Keywords:
locked cervical fusion cage;  traditional titanium plate fusion cage;  single-segment cervical disc herniation;  clinical curative effect
分类号:
R681.5
文献标志码:
B
摘要:
目的:比较锁定式颈椎融合器与传统钛板融合器内固定治疗颈椎间盘突出症临床疗效及安全性。方法:将2017年1月至2019年1月收治的颈椎间盘突出症患者92例随机分为观察组和对照组(各46例),观察组给予锁定式颈椎融合器治疗,对照组给予传统钛板融合器内固定治疗,记录观察两组治疗的手术时间及术中出血量,比较两组术前术后的JOA评分、Odom评级,比较两组术后12个月内并发吞咽困难、内固定松动的情况。结果:观察组的手术时间明显短于对照组,差异有统计学意义(P<0.05),术中出血量明显低于对照组,差异有统计学意义(P<0.05); 两组术前、术后3个月、术后6个月、术后12个月的JOA评分差异无统计学意义(P>0.05); 术后12个月观察组Odom评级优良率明显高于对照组,差异有统计学意义(P<0.05); 随访期间观察组并发吞咽困难例数明显少于对照组,差异有统计学意义(P<0.05),并发内固定松动例数与对照组差异无统计学意义(P>0.05)。结论: 相比传统钛板融合器,锁定式颈椎融合器治疗颈椎间盘突出症能缩短手术时间,降低术中出血量,提高临床疗效,降低术后吞咽困难并发率,是一种安全有效的治疗方式。
Abstract:
To compare the clinical effect and safety of locked cervical fusion cage and traditional titanium plate fusion cage for single-segment cervical disc herniation.Methods:A total of 92 patients with single-segment cervical disc herniation in the hospital during the period from January 2017 to January 2019 were randomly divided into study group and control group with 46 cases in each group.The study group was treated by locked cervical fusion cage,while control group was treated with traditional titanium plate fusion cage for internal fixation.The operation time and intraoperative blood loss in both groups were recorded.JOA score and Odom grade before and after surgery,dysphagia and internal fixation loosening within 12 months after surgery were compared between the two groups.Results:The operation time of study group was significantly shorter than that of control group(P<0.05),and intraoperative blood loss was significantly less than that of control group(P<0.05).There was no significant difference in JOA scores between the two groups before operation,3 months,half a year and 1 year after operation(P>0.05).Good rate of Odom rating was significantly higher than that in control group(P<0.05).During follow-up,number of cases with dysphagia in study group was significantly less than that in control group(P<0.05).There was no significant difference in the number of cases with internal fixation loosening between the two groups(P>0.05).Conclusion:Compared with the traditional titanium plate fusion cage,the locking cervical fusion cage for the treatment of cervical intervertebral disc herniation can shorten the operation time,reduce the amount of intraoperative blood loss,improve the clinical efficacy,and reduce the postoperative dysphagia rate.It is a safe and effective treatment.

参考文献/References:


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备注/Memo

备注/Memo:
基金项目:江西省鹰潭市科技计划项目(Ykz20180029)
△通信作者 E-mail:cherrytree258@163.com
更新日期/Last Update: 2021-06-15