局解手术学杂志2018，Vol.27Issue(1)：12-15,4.DOI:10.11659/jjssx.10E017052
Zero-p与Cage钛板融合术后椎前软组织肿胀程度与吞咽困难的关联研究
Comparison of prevertebral soft tissue swelling and dysphagia between Zero-p and traditional cage and titanium plate for anterior cervical discectomy with fusion
摘要
Abstract
Objective To explore the relationship among the prevertebral soft tissue swelling and dysphagia rate after anterior cervical diskectomy and fusion(ACDF),and to investigate the prevertebral soft tissue swelling and dysphagia rate after Zero-p or traditionaI cage and titanium plate for one-level lesion of cervical myelopathy.Methods The clinical data of 54 patients with one-level lesion (C5/6) of cervical myelopathy who undelwent anterior cenrical discectomy and fusion by Zero-p (n =25) or traditional cage and titanium plate (n =29) were analyzed.The postoperative prevertebral soft tissue swelling was measured by lateral radiographs.Patients were divided into the swelling group (n =24) and the non-swelling group(n =30) based on the degree of prevertebral soft tissue swelling and the incidences of dysphagia were analyzed.Patients were divided into the Zero-p group (n =25)and the Cage group (n =29) based on surgical treatment,the postoperative prevertebral soft tissue swelling and dysphagia rate were compared.Results The rate of dysphagia in swelling group was 45.8％,which was higher than 13.3％ in non-swelling group,the difference was significant(P ＜0.05).The postoperative prevertebral soft tissue swelling was 6.22 mm averagely after Zreo-p,which was less than that after traditional cage and titanium plate for anterior cervical discectomy with fusion(9.25 mm),the difference was significant (P ＜ 0.05).The incidence of dysphagia in Zero-p group was 12％,which was lower than 41.4％ in Cage group,and the difference was statistically significant (P ＜ 0.05).Conclusion It is a clinical significance to evaluate the degree of prevertebral soft tissue swelling by cervical lateral X-ray after ACDF,when the degree of prevertebral soft tissue swelling is greater,the incidence of complications such as dysphagia is higher.In addition,The Zero-p for the treatment of single one-level lesion of cervical myelopathy(C5/6) has a lower degree of prevertebral soft tissue swelling and dysphagia rate than the traditional Cage and titanium plate fusion.关键词
脊髓型颈椎病/Zero-p/软组织损伤/吞咽困难/椎间融合术Key words
cervical spondylotic myelopathy/Zero-p/prevertebral soft tissue swelling/dysphagia/interbody fusion分类
医药卫生引用本文复制引用
李青松,王亚楠,轩安武,王琪,项良碧..Zero-p与Cage钛板融合术后椎前软组织肿胀程度与吞咽困难的关联研究[J].局解手术学杂志,2018,27(1):12-15,4.基金项目
辽宁省科学基金项目(2014225012) （2014225012）
中国博士后科学基金面上项目(2015M582821) （2015M582821）
