| 3D外视镜辅助前路颈椎间盘切除融合术治疗脊髓型颈椎病的疗效 |
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| 引用本文： | 姚志鹏,熊承杰,杨赛,姚亚伟,朱方强,徐峰.3D外视镜辅助前路颈椎间盘切除融合术治疗脊髓型颈椎病的疗效[J].中国临床神经外科杂志,2021,26(2):82-84. |
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| 作者姓名： | 姚志鹏 熊承杰 杨赛 姚亚伟 朱方强 徐峰 |
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| 作者单位： | 510515 广州，南方医科大学第一临床医学院（姚志鹏、姚亚伟、徐 峰）；430070 武汉，中国人民解放军中部战区总医院骨科（熊承杰、杨 赛、朱方强、徐 峰） |
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| 摘 要： | 目的 探讨3D外视镜辅助前路颈椎间盘切除融合术（ACDF）治疗脊髓型颈椎病的效果。方法 回顾性分析2019年1~6月3D外视镜辅助ACDF治疗的15例脊髓型颈椎病的临床资料。术后随访12~16个月，平均（14.40±1.45）个月，采用日本骨科协会（JOA）评分评估神经功能。结果 所有病人均在3D外视镜辅助下顺利完成手术，手术时间90~160 min，平均（111.33±17.88）min；术中出血量10~100 ml，平均（44.67±28.50）ml。末次随访JOA评分（14.27±1.03）分]较术前（9.60±1.68）分]明显增加（P<0.05）。神经功能改善率在50%~80%，平均（63.41±9.54）%；其中优3例，良12例，优良率为100%。所有病人均未出现手术相关并发症。结论 3D外视镜辅助ACDF治疗脊髓型颈椎病，能够提供良好的放大和照明效果，是一种安全、有效的治疗方法。
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| 关 键 词： | 脊髓型颈椎病 3D外视镜 前路颈椎间盘切除融合术（ACDF） |
3D exoscope-assisted anterior cervical discectomy and fusion for patients with cervical spondylotic myelopathy |
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| YAO Zhi-peng,XIONG Chen-jie,YANG Sai,YAO Ya-wei,ZHU Fang-qiang,XU Feng.3D exoscope-assisted anterior cervical discectomy and fusion for patients with cervical spondylotic myelopathy[J].Chinese Journal of Clinical Neurosurgery,2021,26(2):82-84. |
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| Authors: | YAO Zhi-peng XIONG Chen-jie YANG Sai YAO Ya-wei ZHU Fang-qiang XU Feng |
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| Affiliation: | Department of Orthopedic, General Hospital, Central Theater Command, PLA, Wuhan 40070, China |
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| Abstract: | Objective To explore the clinical efficacy of 3D exoscope-assisted anterior cervical discectomy and fusion(ACDF)for the the patients with cervical spondylotic myelopathy(CSM).Methods The clinical data of 15 patients with CSM who underwent 3D exoscope-assisted ACDF from January 2019 to June 2019 were analyzed retrospectively.The postoperative follow-up ranged from 12 months to 16 months,with an average of(14.40±1.45)months.The Japanese Orthopaedic Association(JOA)score was used to evaluate clinical outcomes.Results The operations were successfully completed in all the patients with the assistance of 3D exoscope.The mean operation time was(111.33±17.88)minutes and the average blood loss was(44.67±28.50)ml.The JOA score was significantly higher at the last follow-up(14.27±1.03)points]than that(9.60±1.68)points]before the operation(P<0.05).The improvement rate of neurological function ranged from 50%to 80%,with an average of(63.41±9.54)%.Eexcellent improvement of neurological function was achieved in 3 patients and good in 12,and the excellent and good rate was 100%.There was no postoperative complications related to the surgery.Conclusions The 3D exoscope can provide excellent magnification and illumination.3D exoscope-assisted ACDF is a safe and effective procedure in the treatment of patients with CSM. |
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| Keywords: | Cervical spondylotic myelopathy 3D exoscope Anterior cervical discectomy and fusion(ACDF) |
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