| 颈椎前路Hybrid术治疗颈椎退行性疾病 |
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Received:August 20, 2019
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| 作者 | Author | 单位 | Unit | E-Mail |
| 齐英娜 |
QI Ying-na |
首都医科大学附属北京中医医院骨科, 北京 100010 |
Department of Orthopaedics, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China |
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| 李春根 |
LI Chun-gen |
首都医科大学附属北京中医医院骨科, 北京 100010 |
Department of Orthopaedics, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China |
leechungen1953@163.Com |
| 柳根哲 |
LIU Gen-zhe |
首都医科大学附属北京中医医院骨科, 北京 100010 |
Department of Orthopaedics, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China |
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| 尹辛成 |
YIN Xin-cheng |
首都医科大学附属北京中医医院骨科, 北京 100010 |
Department of Orthopaedics, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China |
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| 彭亚 |
PENG Ya |
首都医科大学附属北京中医医院骨科, 北京 100010 |
Department of Orthopaedics, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China |
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| 孙佩宇 |
SUN Pei-yu |
首都医科大学附属北京中医医院骨科, 北京 100010 |
Department of Orthopaedics, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China |
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| 陈超 |
CHEN Chao |
首都医科大学附属北京中医医院骨科, 北京 100010 |
Department of Orthopaedics, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China |
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| 郑皓云 |
ZHENG Hao-yun |
首都医科大学附属北京中医医院骨科, 北京 100010 |
Department of Orthopaedics, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China |
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| 祝永刚 |
ZHU Yong-gang |
首都医科大学附属北京中医医院骨科, 北京 100010 |
Department of Orthopaedics, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China |
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| 郭雨霞 |
and GUO Yu-xia |
首都医科大学附属北京中医医院骨科, 北京 100010 |
Department of Orthopaedics, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China |
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| 期刊信息：《中国骨伤》2021年34卷，第1期，第80-85页 |
| DOI：10.12200/j.issn.1003-0034.2021.01.015 |
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目的：探讨颈椎前路Hybrid术治疗颈椎退行性疾病的临床疗效并观察其术后1年影像学上间盘置换节段异位骨化的发生率。
方法：对2015年1月至2018年4月接受颈椎前路Hybrid术符合纳入和排除标准并获得完整临床随访资料的35例患者进行回顾性分析，其中24例获得完整影像学随访资料，男15例，女20例，年龄39~70（55.57±7.73）岁，手术出血量20~100（40.29±18.39） ml，住院时间4~28（11.03±4.63） d，随访时间（12.97±1.36）个月。采用田中靖久颈椎病症状量表（Tanaka Yasushi Cervical Spondylitis Symptom Scale 20 Score，YT20）及日本矫形骨科协会（Japanese Orthopaedic Association，JOA）评分进行临床疗效评价，术后1年通过X线依据McAfee标准评价Hybrid术后异位骨化发生的情况，并对是否发生异位骨化患者进行分组，比较其临床疗效。
结果：末次随访时平均YT20评分和JOA评分较术前明显升高（P<0.05），JOA平均改善率为（70.66±0.44）%。24个节段中10个节段出现异位骨化，发生率为41.70%，其中Ⅰ级为29.20%，Ⅱ级为12.50%。异位骨化发生和未发生患者的临床疗效比较：术前、术后JOA评分差异无统计学意义（P>0.05）；术前YT20评分差异无统计学意义（P>0.05），术后异位骨化发生患者YT20评分明显低于未发生患者。
结论：Hybrid术近期临床疗效满意，异位骨化发生的原因仍需要进一步探索。 |
| [关键词]:颈椎退行性疾病 Hybrid术 异位骨化 |
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| Clinical observation on the treatment of cervical degenerative diseases with Hybrid surgery |
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Abstract:Objective: To investigate the clinical effect of anterior cervical Hybrid surgery in the treatment of cervical degenerative diseases(CDD) and observe the incidence of heterotopic ossification of disc replacement segment at 1 year after surgery.
Methods: From January 2015 to April 2018,35 patients who received anterior cervical hybrid surgery met the inclusion and exclusion criteria and the complete clinical follow-up data were analyzed retrospectively. Complete imaging follow-up data were obtained from 24 patients. There were 15 males and 20 females,aged from 39 to 70(55.57±7.73) years old. The amount of bleeding was for 20 to 100 (40.29±18.39) ml,and the hospital stay was for 4 to 28(11.03±4.63) days,and the follow-up time was(12.97±1.36) months. Clinical outcomes were assessed by the Tanaka Yasushi cervical spondylitis symptom scale 20 score (YT20),and Japanese Orthopaedic Association(JOA) score. The occurrence of heterotopic ossification after Hybrid surgery was evaluated by X-ray according to McAfee standard one year after operation. Patients with or without heterotopic ossification were divided into two groups and their clinical effects were compared.
Results: At the final follow-up,the mean YT20 score and JOA score were significantly higher than those before operation(P<0.05),and the average improvement rate of JOA was(70.66±0.44)%. One year after operation, the heterotopic ossification occurred in 10 of 24 segments,with incidence of 41.70%(10/24),including 29.20% in gradeⅠand 12.50% in gradeⅡ. The results of clinical efficacy comparison between patients with and without heterotopic ossification were as follows:there was no significant difference in JOA score before and after operation(P>0.05);there was no significant difference in YT20 score before operation(P>0.05),and YT20 score in patients with heterotopic ossification was significantly lower than that in patients without heterotopic ossification(P<0.05).
Conclusion: The short-term clinical effect of Hybrid surgery is satisfactory for cervical degenerative diseases,and the cause of heterotopic ossification still needs to be further explored. |
| KEYWORDS:Cervical degenerative diseases Hybrid surgery Heterotopic ossification |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 齐英娜,李春根,柳根哲,尹辛成,彭亚,孙佩宇,陈超,郑皓云,祝永刚,郭雨霞.颈椎前路Hybrid术治疗颈椎退行性疾病[J].中国骨伤,2021,34(1):80~85 |
| 英文格式: | QI Ying-na,LI Chun-gen,LIU Gen-zhe,YIN Xin-cheng,PENG Ya,SUN Pei-yu,CHEN Chao,ZHENG Hao-yun,ZHU Yong-gang,and GUO Yu-xia.Clinical observation on the treatment of cervical degenerative diseases with Hybrid surgery[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(1):80~85 |
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