中国医学创新2024，Vol.21Issue(28)：153-157,5.DOI:10.3969/j.issn.1674-4985.2024.28.036
ACDF与ACCF治疗双节段颈椎病的效果对比分析
Comparative Analysis of the Effect of ACDF and ACCF in Double-segment Cervical Spondylosis
徐东阳 1吴杰 1管礼安 1薛书生1
作者信息
- 1. 淮安八十二医院脊柱二科 江苏 淮安 223001
- 折叠
摘要
Abstract
Objective:To analyze and compare the application effects of anterior cervical discectomy and fusion(ACDF)and anterior cervical corpectomy and fusion(ACCF)in the treatment of bilateral cervical spondylosis.Method:A total of 90 patients with double-segmental cervical spondylosis admitted to Huai'an 82 Hospital from December 2020 to December 2023 were selected and divided into control group and observation group using the latest statistical software to generate random sequences,with 45 cases in each group.The control group was treated with ACCF and the observation group was treated with ACDF.Perioperative indexes,pain relief,cervical function recovery and adverse events were compared between two groups.Result:Perioperative indexes(operation time,intraoperative bleeding blood volume,postoperative drainage volume,ambulation time and hospital stay)of the observation group were better than those of the control group,the differences were statistically significant(P<0.05).There were no significant differences in numeric rating scales(NRS)scores between two groups before treatment,14 d and 1 month,2 months after treatment(P>0.05).There were no significant differences in range of motion(ROM),spinal cord area at the narrowest point,cervical curvature and vertebral canal cross-sectional area between two groups before treatment and 1 month,2 months after treatment(P>0.05).There was no significant difference in the total incidence of adverse events between two groups(P>0.05).Conclusion:There is no significant difference between ACDF and ACCF in the treatment of double-segmental cervical spondylosis,but ACDF is more suitable for patients with low tolerance to surgery because of its shorter operation time and less blood loss.关键词
双节段颈椎病/颈椎前路椎间盘切除减压融合术/颈椎前路椎体次全切除减压融合术/围手术期/疼痛缓解/颈椎恢复/不良事件Key words
Double-segmental cervical spondylosis/Anterior cervical discectomy and fusion/Anterior cervical corpectomy and fusion/Perioperative/Pain relief/Cervical recovery/Adverse events引用本文复制引用
徐东阳,吴杰,管礼安,薛书生..ACDF与ACCF治疗双节段颈椎病的效果对比分析[J].中国医学创新,2024,21(28):153-157,5.
