中国医学装备2025，Vol.22Issue(5)：82-86,5.DOI:10.3969/j.issn.1672-8270.2025.05.017
颈前路椎间盘切除融合器植骨融合内固定术对双节段颈椎病患者术后神经功能及颈椎稳定性的影响
Effect of anterior cervical discectomy fusion with bone graft fusion and internal fixation in patients with two-segment cervical spondylosis
摘要
Abstract
Objective:To investigate the effect of anterior cervical discectomy and fusion(ACDF)and cervical spine stability in patients with two-segment cervical spondylosis.Methods:The clinical data of 60 patients with two-level cervical spondylotic myelopathy in Anqing Municipal Hospital were analyzed retrospectively.They were divided into group A(30 cases)and group B(30 cases)according to the communication results between doctors and patients.The control group was given anterior cervical corpectomy and fusion(ACCF),and the observation group was given ACDF.The clinical effects(cervical brace protection time,hospital stay,operation time and intraoperative blood loss),postoperative pain degree[visual analogue score(VAS)],neurological function[Japanese Association of Orthopaedic Surgeons(JOA)],cervical spine function[cervical spine dysfunction index(NDI)],cervical spine stability(C3-6 segment Cobb angle,intervertebral height and cervical spine curvature)and complication rate were compared between the two groups.Results:There were no significant differences in cervical brace protection time,hospital stay and operation time between the two groups(P>0.05).The VAS score in ACDF group was lower than that in ACCF group at 1,3 and 6 months after operation(t=4.312,3.864 and 9.338,P<0.05).The JOA score was higher than that of ACCF group(t=6.482,6.366,5.059,P<0.05).The NDI score was lower than that of ACCF group(t=4.922,6.178,8.859,P<0.05).Six months after operation,the Cobb angle,intervertebral height and cervical curvature of cervical vertebra 3-6(C3-6)in ACDF group were higher than those in ACCF group.The difference was statistically significant(t=5.011,2.171 and 3.386,P<0.05).The incidence of complications between the two groups was not different(P>0.05).Conclusion:ACDF for two-segment cervical spondylosis can effectively improve cervical spine function and nerve function,reduce postoperative pain,and reduce intraoperative blood loss,which is safe and effective.关键词
双节段颈椎病/颈前路椎间盘切除融合器植骨融合内固定术(ACDF)/颈椎稳定性/神经功能Key words
Two-segment cervical spondylosis/Anterior cervical discectomy fusion(ACCF)with bone graft fusion and internal fixation/Cervical spine stability/Neurological function分类
医药卫生引用本文复制引用
陈义,胡靖,宋峰,孙永进..颈前路椎间盘切除融合器植骨融合内固定术对双节段颈椎病患者术后神经功能及颈椎稳定性的影响[J].中国医学装备,2025,22(5):82-86,5.基金项目
2021年度安徽省自然科学基金(2108085QH321) Natural Science Foundation of Anhui Province in 2021(2108085QH321) （2108085QH321）
