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颈前路手术治疗多节段颈椎间盘突出症的临床疗效观察

张坤和 黄黎 王理德

中国医药科学Issue(4):152-154,3.
中国医药科学Issue(4):152-154,3.

颈前路手术治疗多节段颈椎间盘突出症的临床疗效观察

Clinical observation of therapeutic effect of anterior cervical operation in multi-segmental cervical disc herniation

张坤和 1黄黎 1王理德1

作者信息

  • 1. 广东省江门市新会中医院,广东江门529100
  • 折叠

摘要

Abstract

Objective To study the clinical effect of anterior cervical operation in multi-segmental cervical disc herniation. Methods 39 patients with multi-segmental cervical disc herniation were treated with anterior cervical operation, anterior subtotal vertebraectomy, iliac bone graft combined internal fixation of anterior bone plates. To mensurate JOA scores at preoperative and final follow-up postoperative, to mensurate Cobb angle of normal lateral X-ray film, height of anterior border of fused segment(HAB), and height of posterior border of fused segment(HPB) at preoperative, one week postoperative, and final follow-up postoperative. Results JOA scores were(8.09±2.20) and(14.98±2.01)at preoperative and final follow-up postoperative(P<0.05), the excellent and good rate was 84.6%, with excellent in 25 cases, well in 8 cases, medium in 5 cases, and bad in 1 case. The differences of Cobb angle, HAB, and HPB of one week postoperative compared with which of preoperative all had statistical significance(P < 0.01), the differences of Cobb angle, HAB, and HPB of final follow-up postoperative compared with which of preoperative all had statistical significance(P<0.05). Conclusion Anterior cervical operation in multi-segmental cervical disc herniation has statistical effect, is the first treatment methods.

关键词

颈椎间盘突出症/颈前路手术/骨板/内固定

Key words

Cervical disc herniation/Anterior cervical surgery/Bone plate/Fixation

分类

医药卫生

引用本文复制引用

张坤和,黄黎,王理德..颈前路手术治疗多节段颈椎间盘突出症的临床疗效观察[J].中国医药科学,2015,(4):152-154,3.

中国医药科学

2095-0616

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