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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2023; 7: (3) ; 10.12208/j.ijcr.20230110 .

Treatment of cervical Spondylotic radiculopathy by axillary approach of Key-hole operation
颈椎后路内镜Key-hole手术的腋下型入路治疗神经根型颈椎病

作者： 刘晏齐, 安永胜 *

承德医学院附属医院 河北承德

*通讯作者： 安永胜,单位：承德医学院附属医院 河北承德；

引用本文: 刘晏齐, 安永胜 颈椎后路内镜Key-hole手术的腋下型入路治疗神经根型颈椎病[J]. 国际临床研究杂志, 2023; 7: (3) : 12-15.
Published: 2023/3/19 18:04:02

摘要

目的 探讨颈椎后路内镜Key-hole手术腋下型入路减压治疗单节段颈椎间盘突出症的临床可行性。方法 回顾性分析2015年6月至2020年9月本院骨科收治的86例符合纳入标准的病人，按术式分组对比患者的手术时间、减压面积、术前及术后末次的颈椎VAS、JOA及改良Macnab指数分析评估疗效。结果 患者均顺利完成手术。患者术后末次随访时临床症状得到明显改善，临床评分两组差异无统计学意义（P>0.05）。“腋下入路”组的患者磨骨开窗减压范围低于传统组，差异有统计学意义（P<0.05）。结论 Key-hole手术腋下型入路减压治疗单纯间盘突出的神经根型颈椎病可以达到治疗预期，缩短手术时间，并可较多保留关节突关节维持颈椎稳定性。

关键词： 神经根型颈椎病；内镜；key-hole手术

Abstract

Objective To explore the clinical feasibility of posterior endoscopic Key-hole surgery for axillary decompression in the treatment of single segmental cervical disc herniation.
Methods After 86 patients were included, they were divided into groups according to the mode of operation, and the relevant clinical indexes were evaluated.
Results There was no significant difference in preoperative indexes, but all patients were relieved after operation, and there was significant difference in treatment effect. There was no significant difference in postoperative curative effect between the two groups.
Conclusion   The subaxillary approach for Key-hole is effective.

Key words： Cervical spondylotic radiculopathy; Endoscopic; Key-Hole surgery

参考文献 References

[1] Lin,et al. Predictive Effect of Cervical Sagittal Parameters on Conservative Treatment of Single-Segment Cervical Spondylotic Radiculopathy.[J] .World Neurosurg, 2020, 134: 1028-1036.

[2] 石维.颈椎人工椎间盘置换术与颈椎前路椎间盘切除融合术治疗颈椎病的研究进展[J].脊柱外科杂志,2022,20（03）:203-207.

[3] Deng Z-L. Modified K-Hole Percutaneous Endoscopic Surgery for Cervical Foraminal Stenosis: Partial Pediculectomy Approach[J]. Pain Physician, 2019, 5（22;5）: 407–416.

[4] 刘国萍.经皮内镜下Key-Hole技术治疗旁中央型颈椎间盘突出症[J].中国修复重建外科杂志,2020, 34（07）: 895-899.

[5] 肖清清.经皮内镜下颈椎后路循椎弓根360°神经根减压术[J].中国矫形外科杂志,2021,29（09）:839-842.

[6] 常晓盼.分区法椎间孔切开在颈椎后路内镜手术中的应用[J].中国骨伤,2020,33（05）:426-429.

[7] 刘东宁.颈椎后路经皮脊柱内镜椎间盘髓核切除术治疗神经根型颈椎病[J].中国微创外科杂志,2020, 20（03）: 240-244. 

[8] 刘东宁.颈椎后路内窥镜下椎间盘切除术治疗单节段神经根型颈椎病[J].中国脊柱脊髓杂志, 2013, 23（07）: 594-598.

[9] Theodore Nicholas, Degenerative Cervical Spondylosis. [J] .N Engl J Med, 2020, 383: 159-168.

[10] Eguchi Y, et al. Simultaneous MR neurography and apparent T2 mapping of cervical nerve roots before microendoscopic surgery to treat patient with radiculopathy due to cervical disc herniation: Preliminary results[J]. Journal of Clinical Neuroscience, 2020, 74: 213–219.