Pretic-Ⅰ人工颈椎间盘置换术治疗颈椎间盘突出症的早期疗效观察

发布时间：2018-03-29 03:08

本文选题：Pretic-Ⅰ人工颈椎间盘　切入点：人工颈椎间盘置换术　出处：《中国修复重建外科杂志》2017年05期

【摘要】：目的总结采用一种新型人工颈椎间盘(Pretic-Ⅰ)行人工颈椎间盘置换术的早期疗效。方法回顾分析2014年6月—12月采用Pretic-Ⅰ人工椎间盘置换术治疗的10例单间隙颈椎间盘突出症患者临床资料。其中男4例,女6例;年龄27~51岁,平均40岁。病程4~36个月,平均15.4个月。手术节段:C_(4、5)1例,C_(5、6) 8例,C_(6、7) 1例。术前、术后即刻及术后3、6、12个月采用疼痛视觉模拟评分(VAS)、日本骨科协会(JOA)评分、颈椎功能障碍指数(NDI)评价疗效;于颈椎X线片测量目标椎间隙高度,目标椎间隙及上、下位相邻椎间隙活动度,评价颈椎运动功能。结果患者均顺利完成手术并获随访12个月。随访期间未出现神经症状加重、椎动脉损伤、食管气管瘘、脑脊液漏、切口感染、血肿形成、假体松动、脱落等并发症。术后各时间点VAS评分、JOA评分及NDI均较术前显著改善(P0.05)。术后即刻及3个月时目标椎间隙高度显著高于术前(P0.05);术后6、12个月与术前比较差异无统计学意义(P0.05)。术后各时间点目标椎间隙及上、下位相邻椎间隙活动度与术前比较差异均无统计学意义(P0.05)。结论 Pretic-Ⅰ人工颈椎间盘置换术治疗单间隙颈椎间盘突出症早期疗效良好,临床症状改善明显,同时较好地维持了手术节段及上、下相邻间隙的运动特征。
[Abstract]:Objective to summarize the experience of using a new type of artificial cervical disc (Pretic- 1) early curative effect of artificial cervical disc replacement. Methods: a retrospective analysis of June 2014 - December by Pretic- of artificial disc replacement in the treatment of 10 cases of single level cervical disc herniation patients. The clinical data of 4 cases of male, female 6 cases; age 27~51 years old, average 40 years old. The duration of 4~36 months, an average of 15.4 months. The operated segments: C_ (4,5) 1 cases, 8 cases of C_ (5,6), C_ (6,7) 1 cases. Before surgery, immediately after surgery and postoperative 3,6,12 months with visual analogue scale (VAS). The Japanese Department of orthopedics Association (JOA) score, neck disability index (NDI) in evaluation of curative effect; cervical X-ray measurement of target intervertebral height, intervertebral space and target, the adjacent intervertebral space of cervical spine motion function evaluation. Results the patients were successfully completed surgery and were followed up for 12 months. During the follow-up period without neurological symptoms aggravate vertebral Arterial injury, esophageal fistula, cerebrospinal fluid leakage, wound infection, hematoma formation, prosthesis loosening and shedding complications. At each time point after operation VAS score, JOA score and NDI were significantly improved compared with preoperative (P0.05). Immediately after surgery and 3 months when the target intervertebral height was significantly higher than that before operation (P0.05) after the operation; the difference between the 6,12 months before surgery and had no statistical significance (P0.05). After each time point target intervertebral space and on the adjacent intervertebral space activity with preoperative difference was not statistically significant (P0.05). Conclusion Pretic- of artificial cervical disc replacement in the treatment of cervical disc herniation single gap in the early stage of good curative effect, the clinical symptoms improved significantly, and better maintain the operation section and on the motion characteristics of the adjacent gap.

【作者单位】：四川大学华西医院骨科;四川大学华西医院手术室;
【分类号】：R687.3

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