| 张海存.内镜辅助下颈椎前路减压零切迹融合器内固定对颈椎病患者疼痛及颈椎Cobb角的影响[J].浙江中西医结合杂志,2025,35(7): |
| 内镜辅助下颈椎前路减压零切迹融合器内固定对颈椎病患者疼痛及颈椎Cobb角的影响 |
| Impacts of endoscopy-assisted cervical anterior-approached decompression and zero-profile intervertebral fusion and fixation on pain and cervical Cobb angle of patients with cervical spondylosis |
| 投稿时间：2024-08-02 修订日期：2025-04-23 |
| DOI： |
| 中文关键词: 脊髓型颈椎病 内镜辅助 颈椎前路 椎间融合 零切迹 |
| 英文关键词:Cervical spondylotic myelopathy Endoscopic assistance Cervical anterior approach Intervertebral fusion Zero-profile |
| 基金项目:舟山市卫生健康委医药卫生科技计划项目(2022YB05) |
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| 中文摘要: |
| 目的:探讨内镜下颈前路减压零切迹椎间融合固定系统(Zero-P)对脊髓型颈椎病(CSM)患者的治疗效果,及对其疼痛和颈椎Cobb角的影响。方法:选择2021年1月至2023年6月本院收治的CSM患者84例,随机分为研究组42例、对照组42例。对照组采用常规颈椎前路减压植骨融合术(ACDF)治疗,研究组采用内镜下Zero-P治疗。比较两组围术期指标、疼痛程度、颈脊髓神经功能、颈椎曲度及吞咽困难发生情况。结果:研究组手术、住院时间显著短于对照组(P<0.05),术中失血量显著少于对照组(P<0.05)；研究组视觉模拟评分量表(VAS)评分显著低于对照组(P<0.05),日本骨科协会(JOA)评分显著高于对照组(P<0.05)；且研究组颈椎Cobb角显著大于对照组(P<0.05),吞咽困难发生率显著低于对照组(P<0.05)。结论:内镜辅助下CSM患者接受Zero-P方案治疗,可有效降低机体疼痛反应,促进术后恢复,效果较为理想,临床应用价值较高。 |
| 英文摘要: |
| Objective: To explore the therapeutic effect of endoscopic cervical anterior-approached decompression and zero-profile intervertebral fusion and fixation device (Zero-P) on patients with cervical spondylotic myelopathy (CSM), and its impacts on pain and cervical Cobb angle. Methods: From January 2021 to June 2023, 84 CSM patients admitted to our hospital were randomly separated into a study group of 42 cases and a reference group of 42 cases. The reference group received conventional anterior cervical decompression and fusion surgery (ACDF), while the study group received endoscopic Zero-P treatment. The perioperative indicators, degree of pain, cervical spinal nerve function, cervical curvature, and occurrence of swallowing difficulties were compared between the two groups. Results: The study group had obviously shorter surgical time and hospitalization time (P<0.05), and obviously less intraoperative blood loss than the reference group (P<0.05); the visual analogue scale (VAS) score of the study group was obviously lower than that of the reference group (P<0.05), and the Japanese Orthopedic Association (JOA) score was obviously higher than that of the reference group (P<0.05); moreover, the Cobb angle of the cervical spine in the study group was obviously higher than that in the reference group (P<0.05), and the incidence of dysphagia was obviously lower than that in the reference group (P<0.05). Conclusion: Endoscopy-assisted Zero-P regimen for CSM patients can effectively reduce body pain response, promote postoperative recovery, and achieve ideal results with high clinical application value. |
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