李锋，李光辉，熊伟，常增林，夏仁云，陈安民.脊髓型颈椎病患者椎体间融合器手术治疗前、后康复训练的疗效研究[J].中华物理医学与康复杂志,2004,(2):
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| 脊髓型颈椎病患者椎体间融合器手术治疗前、后康复训练的疗效研究 |
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| DOI： |
| 中文关键词: 脊髓型颈椎病 椎间融合器 康复 |
| 英文关键词: Cervical spondylotic myelopathy Interbody fusion cage Rehabilitation |
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| 中文摘要: |
| 目的评价应用颈椎椎体间融合器（cervical interbody fusion cage,CIFC）治疗脊髓型颈椎病患者的疗效，并对其术前、术后相关的康复问题进行探讨。 方法采用CIFC共治疗脊髓型颈椎病患者82例，将其随机分为2组，即康复组（42例）及对照组（40例）。其中康复组患者共有56个椎间隙发生病变，于术前、术后给予综合康复治疗及训练；对照组共有51个椎间隙发生病变，不进行相关的系统康复指导。术后2组患者定期随访并拍摄X线片以观察手术融合节段的稳定性及融合情况，并比较2组间疗效。 结果2组患者（共有107个病变椎间隙）术后有98个病变椎间隙获得骨性融合，融合率为91.6%，其中康复组56个椎间隙中共有51个椎间隙获得骨性融合，融合率为91.1%，对照组51个椎间隙中共有47个椎间隙获得骨性融合，融合率为92.2%，2组间差异无显著性意义。康复组术后2年的JOA评分结果明显优于对照组，表明系统的康复训练有利于该病的恢复及提高患者的生活质量。 结论应用颈椎椎体间融合器能使患者颈椎融合节段获得术后即刻稳定，围手术期间的康复训练有助于维持脊髓手术减压疗效，加快患者术后功能恢复。 |
| 英文摘要: |
| Objective To evaluate the efficacy of cervical interbody fusion cage (CIFC) in the treatment of cervical spondylotic myelopathy patient, and to investigate the rehabilitating problems often encountered before and after operation. MethodsEighty-two patients were recruited and randomly divided into 2 groups, a rehabilitaiton group(42 patients) and a control group (40 patients). A total of 107 intervertebral spaces were detected with segmental myelopathy, and all the patients underwent cervical interbody fusion cage surgery. At the same time, the rehabilitation group patiens received comprehensive rehabilitation training before, during and after surgery, while the control group patients did not give the same rehabilitation treatment. X-ray films were taken in patients of both groups after operation to observe the interbody height and fusion rate of the operation segments, and the postoperative comparative study was implemented. ResultsIn this study, 98 of 107 intervertebral spaces achieved bony fusion, with a fusion rate of 91.6%, 51 of 56 intervertebral spaces in the rehabilitation group achieved bony fusion, with a fusion rate of 91.1%,47 of 51 intervertebral spaces in control group achieved bony fusion, with a fusion rate of 92.2%, the JOA score at 24 months after operation of the rehabilitation group was significantly higher than that of the control group(P<0.05).The early rehabilitation intervention was favorable to the patient's functional restoration and improved their quality of life. ConclusionThe immediate segments stability could be obtained by using CIFC, the pre-and post-operation rehabilitation therapy could enhance and help maintain the effect of surgical decompression in patients with cervical spondylotic myelopathy. |
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