颈椎椎体次全切术后椎间隙高度及曲度指数改变与轴性症状相关性研究.pdfVIP

遵义医学院硕士学位论文 胡晓明 2 颈椎椎体次全切术后椎间隙高度及曲度指数改变与轴性症状相 关性研究 中文摘要 目的：研探讨颈椎前路椎体次全切术后钛网支撑节段的椎间隙高度及颈椎曲度指数 变化与颈部轴性症状发生率的关系。 方法：对 52例颈椎前路融合手术病人随访 0.5~1年,平均 0.9年,分别于手术前、术 后 3个月时拍摄颈椎侧位 X线片,测量钛网支撑节段椎间隙高度,计算钛网支撑节段椎 间隙高度的变化值和颈椎曲度指数,依据病人术后椎间隙高度变化情况和颈椎曲度指 数值将全部样本分为三组,对三组患者术后轴性症状发生率进行观察、分类及统计学 分析。 结果：三组颈椎轴性症状发生率分别为 50.00%、25.00%和 40.00%,经过统计学分析, A组: B组x 2 值=7.43,P＜0.05; B组: C组x 2 值= 7.11,P＜0.05; A组: C组 x 2 值= 0.15,P ＞0,05,差异无统计学意义。 结论：颈椎前路椎体次全切术后融合节段椎间隙高度的变化及颈椎曲度指数与颈部 轴性症状的发生率有正相关性。 关键词：颈椎前路椎体次全切术; 椎间高度; 轴性症状; 相关性；颈椎曲度指数 万方数据 遵义医学院硕士学位论文 胡晓明 3 Correlation between anterior cervical corpectomy and axial symptom Abstract Objective:To investigate the height and CCI change of intervertebral space after anterior cervical corpectomy and its relation to neck axial symptoms Methods: Totally 52 patients receiving anterior cervical corpectomy were followed up for 0.5to1 years, average 0.9 years. The height change of intervertebral space of the fused segment X-rays were evaluated before, 3months after operation All patients were classified into 3 groups by means of the postoperative height change and CCI of intervertebral space The axial symptoms after operation were observed and analyzed during follow-up. Results: The three groups incidence of neck axial symptoms was 50.00%, 25.00% and 40.00%, respectively There were significant differences in statistical analysis in group A group B, group B to group C (x1=7.43,P＜0.05;x2= 7.11,P＜0.05) There was no significant differention group A to group C (x3=0.15,P＞0,05) Conclusion: There is significant relation between height change and CCI of intervertebral space and neck axial symptoms after anterior cervical corpectomy Key Words: anterior cervical corpectomy height of intervertebral space; CCI axial symptom; correlation 万方数据 遵义医学院硕士学位论文 胡晓明