[1]王理想,李春根△,赵子义,等.前路杂合式手术治疗退行性颈椎病临床研究[J].中国中医骨伤科杂志,2023,31(06):46-51.[doi:10.20085/j.cnki.issn1005-0205.230608]
　WANG Lixiang,LI Chungen,ZHAO Ziyi,et al.Clinical Study of Anterior Hybrid Surgery for Cervical Degenerative Diseases[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(06):46-51.[doi:10.20085/j.cnki.issn1005-0205.230608]
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前路杂合式手术治疗退行性颈椎病临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年06期
页码:
46-51
栏目:
临床研究
出版日期:
2023-06-15

文章信息/Info

Title:
Clinical Study of Anterior Hybrid Surgery for Cervical Degenerative Diseases
文章编号:
1005-0205(2023)06-0046-06
作者:
王理想1; 李春根2△; 赵子义2; 陈超2; 郑皓云2; 祝永刚2 赵思浩2; 李伟1; 唐浩杰1; 刘忠瀚1
1北京中医药大学(北京,100029)
2首都医科大学附属北京中医医院骨科
Author(s):
WANG Lixiang1; LI Chungen2△; ZHAO Ziyi2; CHEN Chao2; ZHENG Haoyun2; ZHU Yonggang2; ZHAO Sihao2; LI Wei1; TANG Haojie1; LIU Zhonghan1
1Beijing University of Chinese Medicine,Beijing 100029,China;
2The Orthopedics Department of Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University,Beijing 100010,China.
关键词:
颈椎病;  杂合手术;  全椎间盘置换;  颈前路减压融合手术
Keywords:
cervical spondylosis;  hybrid surgery;  total disc replacement;  anterior cervical decompression and fusion
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.230608
文献标志码:
A
摘要:
目的:评价前路Hybrid术式(颈椎前路椎间融合术加颈椎人工间盘置换术)治疗退行性颈椎病中期临床疗效。方法:纳入2017年7月至2019年12月接受Hybrid术式治疗退行性颈椎病患者102例,采集术前、术后7 d及末次随访的评估,包括日本骨科协会(Japanese Orthopedic Association,JOA)评分、田中靖久颈椎病症状量表(Tanaka Yasushi Cervical Spondylitis Symptom Scale 20 Score,YT20)评分、颈部及上肢手指疼痛视觉模拟量表(VAS)评分、术后满意度(Odom's)评分。结果:最终纳入患者102例,男56例,女46例; 年龄为34～76岁,平均为(56.42±6.49)岁; 术中出血量为10～100 mL,平均为(30.00±15.42)mL; 手术时间为88～419 min,平均为(190.42±45.37)min; 住院时间为4～29 d,平均为(12.59±3.82)d。临床疗效:术前至末次随访,患者YT20评分逐渐增加,术后相对于术前差异有统计学意义(P<0.01),JOA评分总分为(16.32±1.22)分,较术前(13.90±2.44)分明显升高,差异有统计学意义(P<0.01),JOA评分改善率平均为85.19%,各部位VAS评分较术前整体呈下降趋势,末次随访较术前差异有统计学意义(P<0.01),末次随访时非常好和好的比例为89.22%(91/102)。结论:在Hybrid术后不低于3年的随访中,退行性颈椎病患者临床症状明显改善,有89.22%的Hybrid手术患者表示非常满意和满意。
Abstract:
Objective:To evaluate the mid-term clinical efficacy of hybrid operation in the treatment of degenerative cervical spondylosis.Methods:102 inpatients diagnosed in hospital with cervical degenerative diseases who underwent hybrid operation from July 2017 to December 2019 were prospectively studied.Japanese Orthopedic Association(JOA)score,Tanaka Yasushi Cervical Spondylitis Symptom Scale 20 Score(YT20 score),visual analogue scale(VAS)score for neck and upper limb finger pain and Odom's criteria for pre-operation,postoperative 7 d,and last follow-up were collected for evaluation.Results:102 inpatients including 56 male and 46 female with age of 34 to 76 years old(56.42±6.49)had been enrolled.The intraoperative blood loss was 10 to 100 mL(30.00±15.42),the surgery time was 88 to 419 min(241.34±46.27),time of stay was 4 to 29 d(12.59±3.82).In this study,YT20 score was gradual increasing from pre-operation to last follow-up(P<0.01).The last follow up JOA score(16.32±1.22)was higher than pre-operation(13.90±2.44)(P<0.01),JOA score improvement rate was 85.19%.The VAS score of each part showed a downward trend compared with that before operation(P<0.01).The excellent and good rate based on Odom's criteria was 89.22%(91/102).Conclusion:During the follow-up of no less than 3 years after hybrid operation,the clinical symptoms of patients with degenerative cervical spondylosis improved significantly.Base on the Odom's criteria,89.22% patients judge the result of this surgical procedure as being excellent and good.

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备注/Memo

备注/Memo:
基金项目:北京市首都临床特色诊疗技术研究及转化应用(Z221100007422122)
△通信作者 E-mail:leechungen@126.com
更新日期/Last Update: 2023-06-10