摘要
目的对比前路与后路减压融合术治疗颈椎后纵韧带骨化症的临床效果。方法回顾性分析2020年1月—2022年1月北京市昌平区王府中西医结合医院骨科收治的颈椎后纵韧带骨化症患者100例的临床资料,按手术方式分为两组,每组50例。对照组采用后路减压融合术,观察组采用前路减压融合术,比较两组效果。结果观察组手术指标均优于对照组,差异有统计学意义(P<0.05)。术前,两组视觉模拟评分量表(Vi‐sual Analogue Scale,VAS)评分及日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores,JOA)比较,差异无统计学意义(P>0.05);术后,观察组VAS评分为(3.11±0.35)分低于对照组,JOA评分为(14.52±1.63)分高于对照组,差异有统计学意义(t=26.306、10.440,P<0.05)。术前,两组C2-7角、C2-7矢状面垂直距离比较,差异无统计学意义(P>0.05);术后,两组C2-7角、C2-7矢状面垂直距离均有显著改变,但两组比较,差异无统计学意义(P>0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论前路与后路减压融合术对颈椎后纵韧带骨化症的治疗效果相比,前者手术时间短,出血少,对患者的损伤小,术后疼痛较轻,但两者的安全性相近。
Objective To compare the clinical effects of anterior and posterior decompression and fusion in the treatment of cervical posterior longitudinal ligament ossification.Methods The clinical data of 100 patients with cervical posterior longitudinal ligament ossification admitted to the Department of Orthopedics of Wangfu Hospital of Integrated Traditional Chinese and Western Medicine,Changping District,Beijing from January 2020 to January 2022 were retrospectively analyzed,and they were divided into two groups according to the surgical method,with 50 cases in each group.Posterior decompression fusion was performed in control group,and anterior decompression fusion was performed in observation group.The effects of the two groups were compared.Results The surgical indexes of the observation group were better than those of the control group,and the difference was statistically significant(P<0.05).Before surgery,there was no statistically significant difference in Visual Analog Scale(VAS)score and Japanese Orthopedic Association evaluation treatment score(Japanese Orthopaedic Association Scores,JOA)between the two groups(P>0.05).After operation,VAS score(3.11±0.35)points in observation group was lower than that in control group,JOA score(14.52±1.63)points was higher than that in control group,and the difference was statistically significant(t=26.306,10.440,P<0.05).Before operation,there was no statistically significant difference in the vertical distance of C2-7 Angle and C2-7 sagittal plane between the two groups(P>0.05).After operation,C2-7 Angle and C2-7 sagittal plane vertical distance were significantly changed between the two groups,but there was no statistically significant difference between the two groups(P>0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Compared with anterior and posterior decompression fusion for the treatment of cervical posterior longitudinal ligament ossification,the former has shorter operation time,less bleeding,less damage to patients and less postoperative pain,but the safety of the two is similar.
作者
韩建华
郑丰裕
郑圣安
齐永建
郭永生
HAN Jianhua;ZHENG Fengyu;ZHENG Shengan;QI Yongjian;GUO Yongsheng(Department of Orthopedics,Wangfu Hospital of Integrated Traditional Chinese and Western Medicine of Changping District,Beijing,102209 China)
出处
《系统医学》
2023年第14期17-21,共5页
Systems Medicine
关键词
前路减压融合术
后路减压融合术
颈椎后纵韧带骨化症
临床效果
颈椎功能
并发症
Anterior decompression and fusion
Posterior decompression and fusion
Cervical posterior longitudinal ligament ossification
Clinical effect
Cervical spine function
Complications
