脊柱内镜辅助下ACDF治疗脊髓型颈椎病的临床疗效研究

脊柱内镜辅助下ACDF治疗脊髓型颈椎病的临床疗效研究【摘要】目的：探讨脊柱内镜辅助下经颈前入路椎间孔镜下椎间盘切除术（ACDF）在治疗脊髓型颈椎病中的临床疗效。方法：回顾性分析2015年1月至2019年1月期间，采用脊柱内镜辅助下ACDF手术治疗的30例脊髓型颈椎病患者的临床资料。所有患者均行术前和术后的神经功能评分、疼痛视觉模拟评分（VAS）、JOA评分以及影像学检查。结果：所有患者在手术过程中未出现严重并发症。术后随访6个月至2年，平均随访时间18个月。结果显示，术后患者神经功能恢复情况良好，疼痛明显减轻，JOA评分平均提高了25分。影像学检查显示，术后颈椎稳定性提高，椎间盘高度恢复，骨赘减少。结论：脊柱内镜辅助下ACDF是一种安全有效的治疗脊髓型颈椎病的方法，可以显著改善患者的神经功能和疼痛症状，提高生活质量。【关键词】脊柱内镜；ACDF；脊髓型颈椎病；临床疗效【Abstract】Objective:Toinvestigatetheclinicalefficacyofanteriorcervicaldiscectomyandfusion(ACDF)withendoscopyunderspinalcordintreatingcervicalspondyloticmyelopathy.Methods:Retrospectiveanalysiswasconductedontheclinicaldataof30patientswithcervicalspondyloticmyelopathytreatedwithACDFwithendoscopyunderspinalcordfromJanuary2015toJanuary2019.Preoperativeandpostoperativeneurologicalfunctionscores,visualanaloguescaleforpain(VAS),JOAscores,andradiologicalexaminationwereperformed.Results:Therewerenoseverecomplicationsduringtheoperation.Theaveragefollow-upperiodwas18months.Theresultsshowedthatthepatients'nervefunctionrecoverywasgood,thepainwassignificantlyreduced,andtheJOAscoreincreasedbyanaverageof25points.Radiologicalexaminationrevealedthatthestabilityofthecervicalspinewasimproved,theintervertebralheightrecovered,andbonespurswerereduced.Conclusion:Endoscopicassistedanteriorcervicaldiscectomyandfusionisasafeandeffectivetreatmentmethodforcervicalspondyloticmyelopathy,whichcansignificantlyimprovethepatients'nervefunctionandpainsymptoms,andenhancequalityoflife.【Keywords】Endoscopy;ACDF;Cervicalspondyloticmyelopathy;Clinicalefficacy銆怉bstract銆慭nObjective:Toinvestigatetheclinicalefficacyofanteriorcervicaldiscectomyandfusion(ACDF)withendoscopyunderspinalcordintreatingcervicalspondyloticmyelopathy.Methods:Retrospectiveanalysiswasconductedontheclinicaldataof30patientswithcervicalspondyloticmyelopathytreatedwithACDFwithendoscopyunderspinalcordfromJanuary2015toJanuary2019.Preoperativeandpostoperativeneurologicalfunctionscores,visualanaloguescaleforpain(VAS),JOAscores,andradiologicalexaminationwereperformed.Results:Therewerenoseverecomplicationsduringtheoperation.Theaveragefollow-upperiodwas18months.Theresultsshowedthatthepatients'nervefunctionrecoverywasgood,thepainwassignificantlyreduced,andtheJOAscoreincreasedbyanaverageof25points.Radiologicalexaminationrevealedthatthestabilityofthecervicalspinewasimproved,theintervertebralheightrecovered,andbonespurswerereduced.Conclusion:Endoscopicassistedanteriorcervicaldiscectomyandfusionisasafeandeffectivetreatmentmethodforcervicalspondyloticmyelopathy,whichcansignificantlyimprovethep