ACCF和双节段ACDF治疗连续双间隙颈椎间盘突出脊髓型颈椎病的影像学疗效

R687.3; 目的 对颈前路椎体次全切除融合术(ACCF)与连续双节段双间隙颈前路椎间盘切除融合术(ACDF)术后患者影像学解剖参数、相关围手术期参数进行比较,了解两种术式术后患者颈椎影像学的变化及临床疗效的差异性.方法 回顾性纳入西安交通大学第二附属医院骨科 241 例连续双间隙颈椎间盘突出脊髓型颈椎病患者,ACDF 组51 例[男∶女=32∶19,平均年龄(56.3±29.4)岁];ACCF组47 例[男∶女=35∶12,平均年龄(49.1±22.8)岁].观察指标:性别比例、平均年龄、平均住院时间、平均手术时间、平均术中出血量;术前、术后 1 d、术后 6 个月、术后 1 年、术后 2...

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Published in西安交通大学学报（医学版） Vol. 39; no. 4; pp. 551 - 557
Main Authors 薛建利, 董军, 孔洋, 张纯, 程斌
Format Journal Article
LanguageChinese
Published 西安交通大学第二附属医院骨科,陕西西安,710004%陕西中医学院附属医院骨科,陕西咸阳,712046 01.07.2018
Subjects
椎间盘切除
颈椎
cervical spine
融合双节段脊髓型颈椎病
discecomy
次全切除
corpectomy
fusion double-segment cervical spondylotic myelopathy
Online AccessGet full text
ISSN1671-8259
DOI10.7652/jdyxb201804021

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Abstract R687.3; 目的 对颈前路椎体次全切除融合术(ACCF)与连续双节段双间隙颈前路椎间盘切除融合术(ACDF)术后患者影像学解剖参数、相关围手术期参数进行比较,了解两种术式术后患者颈椎影像学的变化及临床疗效的差异性.方法 回顾性纳入西安交通大学第二附属医院骨科 241 例连续双间隙颈椎间盘突出脊髓型颈椎病患者,ACDF 组51 例[男∶女=32∶19,平均年龄(56.3±29.4)岁];ACCF组47 例[男∶女=35∶12,平均年龄(49.1±22.8)岁].观察指标:性别比例、平均年龄、平均住院时间、平均手术时间、平均术中出血量;术前、术后 1 d、术后 6 个月、术后 1 年、术后 2 年的JOA评分和影像学观察指标.采用 SPSS 19.0 软件对上述指标进行统计学分析.结果 ACDF组患者较ACCF组有较短的手术时间、手术出血量和较短的住院时间;ACDF组患者较 ACCF组患者的术后JOA 评分无显著性差异;ACDF组患者较 ACCF组患者有着较佳的影像学指标.结论 在治疗连续双间隙颈椎间盘突出脊髓型颈椎病方面,ACDF较 ACCF的影像学观察所见疗效更佳.
AbstractList R687.3; 目的 对颈前路椎体次全切除融合术(ACCF)与连续双节段双间隙颈前路椎间盘切除融合术(ACDF)术后患者影像学解剖参数、相关围手术期参数进行比较,了解两种术式术后患者颈椎影像学的变化及临床疗效的差异性.方法 回顾性纳入西安交通大学第二附属医院骨科 241 例连续双间隙颈椎间盘突出脊髓型颈椎病患者,ACDF 组51 例[男∶女=32∶19,平均年龄(56.3±29.4)岁];ACCF组47 例[男∶女=35∶12,平均年龄(49.1±22.8)岁].观察指标:性别比例、平均年龄、平均住院时间、平均手术时间、平均术中出血量;术前、术后 1 d、术后 6 个月、术后 1 年、术后 2 年的JOA评分和影像学观察指标.采用 SPSS 19.0 软件对上述指标进行统计学分析.结果 ACDF组患者较ACCF组有较短的手术时间、手术出血量和较短的住院时间;ACDF组患者较 ACCF组患者的术后JOA 评分无显著性差异;ACDF组患者较 ACCF组患者有着较佳的影像学指标.结论 在治疗连续双间隙颈椎间盘突出脊髓型颈椎病方面,ACDF较 ACCF的影像学观察所见疗效更佳.
Abstract_FL Objective To compare the postoperative imaging anatomical parameters and the related perioperative parameters of continuous double-gap cervical spondylotic myelopathy patients who underwent anterior cervical disectomy and fusion (ACDF)or anterior cervical corpectomy and fusion (ACCF)and ACDF so as to learn about the clinical effects of the two methods.Methods We included 5 1 patients in ACDF group (male∶female ratio=32∶19;mean age 56.3±29.4 years),and 47 patients (male∶female ratio=35∶12;mean age 49.1±22.8 years)in ACCF group.We measured the sex ratio,mean age,average length of hospital stay,mean operative time, and average intraoperative blood loss in ACDF group and ACCF group.The patients were followed up at six months,1 year,and 2 years after operation.The JOA score and imaging parameters were recorded for statistical analysis by SPSS 19.0.Results Patients in ACDF group had shorter operative time,less operative bleeding and shorter hospitalization duration than those in ACCF group.There was no significant difference in postoperative JOA score between ACDF and ACCF group.Patients in ACDF group had better imaging indexes than those in ACCF group.Conclusion ACDF has better screening efficacy than ACCF in treatment of continuous double-gap cervical disc herniation of cervical spondylotic myelopathy.
Author 董军
张纯
薛建利
孔洋
程斌
AuthorAffiliation 西安交通大学第二附属医院骨科,陕西西安,710004%陕西中医学院附属医院骨科,陕西咸阳,712046
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Author_FL KONG Yang
DONG Jun
ZHANG Chun
XUE Jian-li
CHENG Bin
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DocumentTitle_FL Clinical effects of ACCF and double-segment ACDF in treating continuous double-gap cervical spondylotic myelopathy
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Keywords 椎间盘切除
颈椎
cervical spine
融合双节段脊髓型颈椎病
discecomy
次全切除
corpectomy
fusion double-segment cervical spondylotic myelopathy
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PublicationTitle 西安交通大学学报（医学版）
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PublicationYear 2018
Publisher 西安交通大学第二附属医院骨科,陕西西安,710004%陕西中医学院附属医院骨科,陕西咸阳,712046
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Snippet R687.3; 目的 对颈前路椎体次全切除融合术(ACCF)与连续双节段双间隙颈前路椎间盘切除融合术(ACDF)术后患者影像学解剖参数、相关围手术期参数进行比较,了解两种术式术后患者...
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StartPage 551
Title ACCF和双节段ACDF治疗连续双间隙颈椎间盘突出脊髓型颈椎病的影像学疗效
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