| Bryan人工颈椎间盘置换治疗颈椎病的中期临床随访 |
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| 引用本文： | 丁琛,刘浩,胡韬,石锐,李涛,洪瑛,宋跃明,刘立岷,曾建成,孔清泉.Bryan人工颈椎间盘置换治疗颈椎病的中期临床随访[J].中国组织工程研究与临床康复,2011,15(17). |
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| 作者姓名： | 丁琛 刘浩 胡韬 石锐 李涛 洪瑛 宋跃明 刘立岷 曾建成 孔清泉 |
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| 作者单位： | 1. 四川大学华西医院,骨科,四川省成都市,610041
2. 四川大学华西医院,手术室,四川省成都市,610041 |
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| 摘 要： | 背景:Bryan人工颈椎间盘置换的短期疗效优良已被大多数学者公认,但有关其中长期临床效果及并发症的资料较少.目的:总结Bryan人工颈椎间盘置换治疗颈椎病的中期临床效果.方法:选择2004-11/2007-12在四川大学华西医院骨科接受Bryan人工颈椎间盘置换的颈椎间盘突出症患者34例,其中单节段置换30例,双节段置换4例.于置换前、置换后7 d、3,6,12,24,36,48个月行SF-36生活质量量表评分、JOA评分、颈部及上肢疼痛目测类比评分;以颈椎正侧位及功能位X射线片测量手术节段、邻近节段及C2～7屈伸活动度的变化,手术节段和邻近节段椎间高度变化及手术节段的轴向平移情况.结果与结论:所有患者置换后神经症状均明显好转,各随访点SF-36生活质量量表躯体评分和心理评分、JOA评分、颈部和上肢疼痛目测类比评分较置换前明显改善(P < 0.05),3个月之后各随访时点两两比较差异无显著性意义(P > 0.05).置入的Bryan假体历次随访均保留了>2°的活动度,未发现手术节段异位骨化与自发性融合,随访48个月时手术节段及C2～7屈伸活动度较置换前略有增加,但差异无显著性意义(P > 0.05);上下邻近节段屈伸活动度维持了置换前水平;手术节段的椎间高度由置换前的(6.04±1.02) mm增加到(8.44±0.43) mm(P < 0.05);上下邻近节段椎间高度及手术节段的轴向平移均维持了置换前水平.说明Bryan人工颈椎间盘治疗颈椎间盘退变性疾病的中期临床效果良好,较好的保留了手术节段、邻近节段及整个颈椎的运动学特性,且近中期并发症很少.
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| 关 键 词： | 颈椎病 颈椎间盘突出症 人工颈椎间盘置换 临床效果 活动度 并发症 |
Clinical outcome of Bryan artificial cervical disc replacement for the treatment of cervical spondylosis: A midterm follow-up |
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| Ding Chen,Liu Hao,Hu Tao,Shi Rui,Li Tao,Hong Ying,Song Yue-ming,Liu Li-min,Zeng Jian-cheng,Kong Qing-quan.Clinical outcome of Bryan artificial cervical disc replacement for the treatment of cervical spondylosis: A midterm follow-up[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2011,15(17). |
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| Authors: | Ding Chen Liu Hao Hu Tao Shi Rui Li Tao Hong Ying Song Yue-ming Liu Li-min Zeng Jian-cheng Kong Qing-quan |
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| Institution: | Ding Chen1,Liu Hao1,Hu Tao1,Shi Rui1,Li Tao1,Hong Ying2,Song Yue-ming1,Liu Li-min1,Zeng Jian-cheng1,Kong Qing-quan1 1Department of Orthopedics,2Operation Room,West China Hospital of Sichuan University,Chengdu 610041,Sichuan Province,China |
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| Abstract: | BACKGROUND:Although the short-term clinical efficacy of Bryan artificial cervical disc replacement is generally acknowledged by most spinal surgeons,the midterm and long term clinical results and complications are still unclear.OBJECTIVE:To summarize midterm term clinical results of Bryan artificial cervical disc replacement for the treatment of cervical spondylosis.METHOD:From November 2004 to December 2007,34 patients had Bryan cervical disc replacement in Department of Orthopedics,West China Hospital wer... |
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