重庆医学Issue(24)：3201-3203,3.DOI:10.3969/j.issn.1671-8348.2014.24.029
ACCF和ACDF术式治疗脊髓型颈椎病的临床疗效及术后并发症评价
Observation on the therapeutic effects of ACCF and ACDF on cervical spondylotic myelopathy and evaluation on the postoperative complications
贾叙锋 1刘双 2王彦博 1叶飞 1雷飞 1冯大雄1
作者信息
- 1. 泸州医学院附属医院脊柱外科，四川泸州646000
- 2. 四川省合江县中医院骨科 646000
- 折叠
摘要
Abstract
Objective To investigate the clinical therapeutic effects of different surgical treatments on cervical spondylotic my-elopathy and the occurrence of postoperative complications .Methods 65 patients with cervical spondylotic myelopathy admitted in our department between January 2010 and January 2013 were retrospectively analyzed ;and among them ,31 underwent anterior cer-vical discectomy and fusion(ACDF) and 34 underwent anterior cervical corpectomy and fusion (ACCF);the general surgical condi-tions ,JOA scores and functional grades of Nurick ,incidences of dysphagia and so on in the patients of the two groups were investi-gated .Results The operative time and intra-operative blood loss of the patients of the ACDF group were better than those of the ACCF group[(88 .70 ± 9 .03)min ,(125 .46 ± 12 .62)min ,(94 .26 ± 10 .34)mL ,(133 .98 ± 12 .09)mL] ,and the differences were sta-tistically significant(P<0 .05) .The postoperative lengths of stay of the two groups were similar ,and the differences in preoperative and postoperative JOA scores and functional grade of Nurick of the two groups were statistically insignificant (P>0 .05);but the differences between the preoperative and postoperative JOA scores and functional grade of Nurick in 6 months after the surgeries and those before the surgeries of the same groups were statistically significant (P<0 .05) .At the same observation time points ,the incidences of dysphagia and the thicknesses of soft tissue before the cervical vertebra in the operated segment of the observation group were all lower than those of the control group ,and the differences were statistically significant (P<0 .05);in the patients of either group ,no loosening ,translocation or non-fusion of the bone graft was observed .Conclusion The two surgeries in treatment of cervical spondylotic myelopathy van both obtain satisfying clinical therapeutic effects ,but ACDF has a lower incidence of postop-erative complications ,and doctors should choose a suitable surgery based on the actual conditions .关键词
椎间盘切除融合术/椎体次全切植骨内固定术/钛网/脊髓型颈椎病/吞咽困难Key words
discectomy and fusion/corpectomy and fusion/titanium web/cervical spondylotic myelopathy/dysphagia分类
医药卫生引用本文复制引用
贾叙锋,刘双,王彦博,叶飞,雷飞,冯大雄..ACCF和ACDF术式治疗脊髓型颈椎病的临床疗效及术后并发症评价[J].重庆医学,2014,(24):3201-3203,3.
