摘要
目的 比较显微镜下颈椎前路减压手术与开放式手术治疗颈椎后纵韧带骨化症的效果。方法 回顾性分析2022年1月至2024年1月莆田市第一医院收治的84例颈椎后纵韧带骨化症患者的临床资料,按照手术方式不同分为传统组(42例)和研究组(42例)。传统组采用开放式颈椎前路减压手术治疗,研究组采用显微镜下颈椎前路减压手术治疗。比较两组手术指标和临床疗效,比较两组术前和术后3个月疼痛程度、颈椎功能和影像学结果。结果 研究组的手术和住院时间短于传统组,并发症总发生率和术中出血量低于传统组,差异有统计学意义(P<0.05)。研究组的总有效率高于传统组,差异有统计学意义(P<0.05)。研究组术后3个月的视觉模拟评分法评分低于传统组,日本骨科协会(JOA)评分高于传统组,差异有统计学意义(P<0.05)。结论 颈椎后纵韧带骨化症患者应用显微镜下颈椎前路减压手术治疗比开放式手术疗效更显著,且改善手术指标、术后3个月疼痛程度、颈椎功能和影像学结果更显著。
Objective To compare the effect of anterior cervical decompression under microscope and open surgery in the treatment of ossification of the posterior longitudinal ligament of the cervical spine.Methods Clinical data of 84 patients with cervical posterior longitudinal ligament ossification admitted to the First Hospital of Putian City from January 2022 to January 2024 were retrospectively analyzed,and they were divided into traditional group(42 cases)and study group(42 cases)according to different surgical methods.The traditional group was treated with open anterior cervical decompression surgery,while the study group was treated with anterior cervical decompression surgery under microscope.The surgical indexes and clinical effects were compared between the two groups,and the pain degree,cervical spine function and imaging results were compared between the two groups before and 3 months after surgery.Results The surgical time and hospital stay in the study group were shorter than those in the traditional group,and the total incidence of complications and intraoperative blood loss were lower than those in the traditional group,with statistical significances(P<0.05).The total effective rate of the study group was higher than that of the traditional group,and the difference was statistically significant(P<0.05).The visual analogue scale(VAS)score of the study group was lower than that of the traditional group at 3 months after surgery,the Japanese Orthopaedic Association(JOA)score was higher than the traditional group,and the differences were statistically significant(P<0.05).Conclusion Anterior cervical decompression surgery under microscope is more effective than open surgery in patients with ossification of the posterior longitudinal ligament of the cervical spine,showing significant improvements in surgical parameters,pain intensity,cervical spine functionality,and radiological outcomes at 3 months postoperatively.
作者
林仙德
罗元标
LIN Xiande;LUO Yuanbiao(Department of Orthopedics,the First Hospital of Putian City,Fujian Province,Putian351100,China)
出处
《中国当代医药》
2024年第36期75-78,共4页
China Modern Medicine
关键词
显微镜
颈椎后纵韧带骨化症
开放式手术
颈椎功能
Microscope
Ossification of the posterior longitudinal ligament of the cervical spine
Open surgery
Cervical spine function
