【摘 要】
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目的:探讨应用Prestige LP人工椎间盘置换治疗颈椎病的初期疗效.方法:采用Prestige LP人工颈椎间盘置换术治疗颈椎病患者14例,统计并分析患者术前和术后随访时相关指标并进行比较.结果:所有患者均为单节段置换,术后随访平均15.6个月.术后JOA评分由(10.3±2.1)提高到(15.2±4.4),NDI评分由(42.30±10.15)％提高到(16.54±8.16)％,颈部疼痛VA
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目的:探讨应用Prestige LP人工椎间盘置换治疗颈椎病的初期疗效.方法:采用Prestige LP人工颈椎间盘置换术治疗颈椎病患者14例,统计并分析患者术前和术后随访时相关指标并进行比较.结果:所有患者均为单节段置换,术后随访平均15.6个月.术后JOA评分由(10.3±2.1)提高到(15.2±4.4),NDI评分由(42.30±10.15)％提高到(16.54±8.16)％,颈部疼痛VAS评分由(5.2±1.4)提高到(1.6±0.7)分,上肢疼痛由(5.3±1.7)提高到(1.7±0.8)分,差异均有统计学意义,P＜ 0.05;术后患者生存质量明显改善,SF-36中物理评分从(34.2±5.1)％改善至(52.3±6.5)％,心理评分从(39.2±3.7)％改善至(55.3±4.6)％,P＜0.05.术后手术节段颈椎曲度由7.1°±2.4°改善至12.8°±3.1°(P＜0.05),颈椎的整体曲度由前15.7°±5.3°改善至17.1°±6.0°(P＞0.05);手术前后手术节段活动度、手术节段邻近节段活动度无明显变化(P＞0.05).
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