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1、·3102·現(xiàn)代中西醫(yī)結(jié)合雜志ModernJournalofIntegratedTraditionalChineseandWesternMedicine2014Oct，23(28)頸前路減壓術(shù)中有無鈦板固定對術(shù)后短期療效的影響周玉軍，劉法敬，胡成棟，陳懷志，張恩錄，李東風(fēng)(河北省邯鄲市中心醫(yī)院，河北邯鄲056001)[摘要]目的探討頸椎前路減壓術(shù)中有無鈦板固定對手術(shù)后短期療效的影響。方法回顧性分析接受頸前路減壓手術(shù)治療的81例單節(jié)段頸椎間盤突出癥(CDH)患者的臨床資料，根據(jù)術(shù)中是否行鈦板固定將其分為A
2、組(椎間融合器+鈦板組)44例和B組(單純椎問融合器組)37例，觀察2組患者術(shù)前及術(shù)后JOA評分、頸椎曲度指數(shù)(CCI)的變化及軸性癥狀(AS)發(fā)生情況。結(jié)果2組患者術(shù)后3個月及末次隨訪時JOA評分較術(shù)前均有明顯恢復(fù)(P均<0．05)，各時間點組間比較差異無統(tǒng)計學(xué)意義(P均>O．05)。A組手術(shù)前后CCI變化為(2．3±0．8)％，B組為(5．3±1．4)％，2組比較差異有統(tǒng)計學(xué)意義(P<0．05)。2組患者AS發(fā)生率分別為7％和24％，2組比較差異有統(tǒng)計學(xué)意義(P<0．05)。結(jié)論頸椎前路減壓后單純置
3、入椎問融合器對手術(shù)療效無影響，但會增加術(shù)后AS的發(fā)生。[關(guān)鍵詞]前路減壓；鈦板固定；頸椎間盤突出；軸性癥狀doi：10．3969／j．issn．1008—8849．2014．28．008[中圖分類號]R0681．53[文獻(xiàn)標(biāo)識碼]A[文章編號]1008—8849(2014)28—3102一o3Effectofanteriorcervicaldecompressionwithorwithouttitaniumplatefixationontheshort·termcurativeeffectinthiss
4、urgeryZhouYujun，LiuFajing，HuChengdong，ChenHuaizhi，ZhangEnlu，LiDongfeng(HandanCentralHospital，Handan056001，Hebei，China)Abstract：0bjectiveItistoinvestigatetheshort—termclinicaltherapeuticdiscrepancyofanteriorcervicaldecompressionwithorwithouttitaniumplatef
5、ixation．MethodsTheclinicaldataof81easesofsinglesegmentcervicaldiskherniationpa—tientswhoacceptedanteriorcervicaldecompressionandfusionwereretrospectivelyanalyzed．ThepatientsweredividedintogroupA(n=44)treatedwithcervicalinterbodyfusioncageandtitaniumplate
6、andgroupB(n=37)treatedwiththecageonlyaccordingtowhetherusingtitaniumplatefixationornotinthesurgery．ThechangesofJOAscoresandcervicalcurvatureindex(CCI)beforeandafteroperation，andtheincidenceofaxialsymptomswererecordedandanalyzedinbothgroups．Re-suitsJOAsco
7、reswereobviouslyimprovedin3monthsafteroperationandatthefinalfollow-upcomparedwiththatbeforetreat·-mentinbothgroups(P<0．05)，andthediferenceinthescoresateverytimepointwasnotsignificantbetweenthetwogroups(P>0．05)．ThechangeofCCIingroupAandgroupBwas(2．3±0．8)％
8、and(5．3-4-1．4)％respectively，comparedwitheachother，thedifferencewassignificant(P<0．05)，andtheincidenceofaxialsymptomswas7％ingroupAand24％ingroupB，therewassignificantdifferencebetweenthetwogroups(P<0．05)．ConclusionSimpleinser
