中国当代医药2025，Vol.32Issue(24)：65-69,5.DOI:10.3969/j.issn.1674-4721.2025.24.13
显微镜辅助下颈前路椎间盘切除减压融合术治疗多节段脊髓型颈椎病的临床效果
Clinical effect of anterior cervical discectomy and fusion with microsurgi-cal assistance for the treatment of multi-segment spinal cord type cervical spondylosis
摘要
Abstract
Objective To explore the therapeutic effect of microscopically assisted anterior cervical discectomy and fusion(ACDF)in patients with multi-segmental cervical spondylotic myelopathy(MCSM).Methods A total of 40 MCSM patients(2-3 segments)admitted to Ji'an Central People's Hospital from January 2022 to December 2024 were selected as the research subjects and randomly divided into the control group(20 cases)and the observation group(20 cases)according to the random number table method.The control group was treated with conventional ACDF,while the observation group was treated with microscopically assisted ACDF.The perioperative indicators,excellent and good rate of cervical spine function,postoperative cervical curvature index,Japanese Orthopaedic Association(JOA)score,neck disability index(NDI)score,visual analogue scale(VAS),sagittal parameter indicators and the occurrence of complications were compared between the two groups.Results The operation time and hospital stay of the observation group were shorter than those of the control group,the intraoperative blood loss and intraoperative drainage volume were both less than those of the control group,the excellent and good rate of cervical spine function in the observation group was higher than that in the control group,and the differences were statistically significant(P＜0.05).The cervical curvature index and JOA score of the observation group after the operation were higher than those of the control group,while the NDI score and VAS score were lower than those of the control group,the differences were statistically sig-nificant(P＜0.05).The postoperative T1 inclination angle,thoracic opening Angle and C2-7 Cobb Angle in the observation group were all larger than those in the control group,and the vertical axis of the sagittal plane of C2-7 was smaller than that in the control group,the differences were statistically significant(P＜0.05).There was no statistically significant difference in the total incidence of complications between the two groups of patients(P＞0.05).Conclusion Microscopically assisted ACDF has a significant therapeutic effect in the treatment of MC-SM patients,effectively restores cervical function,has a higher excellent and good rate after surgery,helps reduce the degree of limb pain,lowers the risk of postoperative complications,and accelerates the recovery process.It is safe and reliable and has high clinical application value.关键词
多节段脊髓型颈椎病/显微镜辅助下颈前路椎间盘切除减压融合术/常规颈前路椎间盘切除减压融合术/并发症Key words
Multi-segmental cervical spondylotic myelopathy/Microscopically assisted anterior cervical discectomy and fusion/Conventional anterior cervical discectomy and fusion/Complications分类
医药卫生引用本文复制引用
张先燎,肖强,刘建建,刘飚,曾水平,邱日峰,郭文炜..显微镜辅助下颈前路椎间盘切除减压融合术治疗多节段脊髓型颈椎病的临床效果[J].中国当代医药,2025,32(24):65-69,5.基金项目
江西省卫生健康委科技计划项目(202511259). （202511259）
