颈椎病手术治疗的研究进展
Advances in Surgical Treatment of Cervical Spondylotic Disease
DOI: 10.12677/ACM.2020.103039, PDF,   
作者: 刘金成, 刘志斌:延安大学附属医院脊柱外科,陕西 延安
关键词: 颈椎病治疗方法手术Cervical Spondylosis Treatment Surgery
摘要: 颈椎病已发展为最常见脊柱退行性病变之一,并且有年轻化的发病趋势。颈椎病从身体和心理等多方面严重威胁着人类的生活质量和健康水平。临床工作中对各型颈椎病已经有较多的治疗方法,近年来颈椎内窥镜、3D打印技术、显微镜等新技术及设备也逐渐应用到颈椎病手术治疗的研究之中,为颈椎病的治疗提供了新的选择和希望。本文就近年来国内外有关颈椎病手术治疗的临床疗效研究进展进行总结与分析。
Abstract: Cervical spondylosis has developed into one of the most common degenerative diseases of the spine and tends to occur in a younger age. Cervical spondylosis is a serious threat to the quality of life and health of human beings both physically and psychologically. In clinical work, there have been many treatment methods for various types of cervical spondylotic diseases. In recent years, new technologies and equipment such as cervical endoscope, 3D printing technology and microscope have been gradually applied to the research of surgical treatment of cervical spondylotic diseases, providing a new choice and hope for the treatment of cervical spondylotic diseases. This paper summarized and analyzed the progress of the clinical efficacy of surgical treatment of cervical spondylotic disease in recent years.
文章引用:刘金成, 刘志斌. 颈椎病手术治疗的研究进展[J]. 临床医学进展, 2020, 10(3): 244-251. https://doi.org/10.12677/ACM.2020.103039

参考文献

[1] 中华外科杂志编辑部. 颈椎病的分型、诊断及非手术治疗专家共识[J]. 中华外科杂志, 2018. 56(6): 401-402.
[2] 陈霞, 马成龙, 薛友儒. 颈椎病患者术前心理健康水平调查[J]. 齐鲁护理杂志, 2017, 23(6): 48-50.
[3] 刘鹏飞. 显微镜辅助下颈前路精细化减压治疗脊髓型颈椎病的临床研究[D]: [硕士学位论文]. 济南: 山东大学, 2018: 49.
[4] 李雷. 《颈椎病诊治与康复指南》解读[J]. 中国实用乡村医生杂志, 2007, 14(12): 45-47.
[5] 谢兴文, 王春晓, 李宁. 颈椎病发病特征与影响因素的流行病学调查[J]. 中国中医骨伤科杂志, 2012, 20(7): 46-47.
[6] 罗晓, 刘康, 杨维新. 某医院2014-2016年颈椎病住院患者流行病学现状分析[J]. 解放军预防医学杂志, 2018, 36(1): 124-126.
[7] 圣磊, 朱龙飞. 颈椎病年轻化趋势的调查及X线表现[J]. 中外医学研究, 2012, 10(3): 60-61.
[8] 卓大宏. 中国康复医学[M]. 北京: 华夏出版社, 2003.
[9] 王细霞. 牵引并超短波、电脑中频治疗仪治疗颈椎病[J]. 实用医学杂志, 2008(6): 1066.
[10] 周万松. 磁疗法治疗颈椎病的应用进展[J]. 生物磁学, 2005, 5(3): 49-51.
[11] 朱立国, 等. 功能锻炼和颈椎牵引治疗颈型颈椎病的Meta分析[J]. 时珍国医国药, 2019, 30(1): 222-225.
[12] Wang, P., et al. (2020) Meta-Analysis of the Therapeutic Effect of Acupuncture and Chiropractic on Cervical Spondylosis Radiculopathy. Medicine, 99, e18851. [Google Scholar] [CrossRef
[13] Heckmann, J.G., et al. (1999) Herniated Cervical Interver-tebral Discs with Radiculopathy: An Outcome Study of Conservatively or Surgically Treated Patients. Journal of Spinal Disorders, 12, 396-401. [Google Scholar] [CrossRef
[14] Arnasson, O., Carlsson, C.A. and Pellettieri, L. (1987) Surgical and Conservative Treatment of Cervical Spondylotic radiculopathy and Myelopathy. Acta Neurochirurgica, 84, 48-53. [Google Scholar] [CrossRef
[15] Nikolaidis, I., et al. (2010) Surgery for Cervical Radiculopathy or Myelopathy. Cochrane Database of Systematic Reviews, No. 1, CD001466. [Google Scholar] [CrossRef
[16] 神经根型颈椎病诊疗规范化研究专家组. 神经根型颈椎病诊疗规范化的专家共识[J]. 中华外科杂志, 2015, 53(11): 812-814.
[17] Emery, S.E., et al. (1998) Anterior Cervical Decompression and Arthrodesis for the Treatment of Cervical Spondylotic Myelopathy. Two to Seventeen-Year Follow-Up. The Journal of Bone & Joint Surgery, 80, 941-51. [Google Scholar] [CrossRef] [PubMed]
[18] Bohlman, H.H., et al. (1993) Robinson Anterior Cer-vical Discectomy and Arthrodesis for Cervical Radiculopathy. Long-Term Follow-Up of one Hundred and Twenty-Two Patients. The Journal of Bone and Joint Surgery. American Volume, 75, 1298-307. [Google Scholar] [CrossRef] [PubMed]
[19] Zou, S., et al. (2017) Anterior Cervical Discectomy and Fusion (ACDF) versus Cervical Disc Arthroplasty (CDA) for Two Contiguous Levels Cervical Disc Degenerative Disease: A Meta-Analysis of Randomized Controlled Trials. European Spine Journal, 26, 985-997. [Google Scholar] [CrossRef] [PubMed]
[20] Zeidman, S.M. and Ducker, T.B. (1993) Posterior Cervical Laminoforaminotomy for Radiculopathy: Review of 172 Cases. Neurosurgery, 33, 356. [Google Scholar] [CrossRef] [PubMed]
[21] Gala, V.C., et al. (2007) Posterior Minimally Invasive Approaches for the Cervical Spine. Orthopedic Clinics of North America, 38, 339-349. [Google Scholar] [CrossRef] [PubMed]
[22] Henderson, C.M., et al. (1983) Posterior-Lateral Foraminotomy as an Exclusive Operative Technique for Cervical Radiculopathy: A Review of 846 Consecutively Operated Cases. Neu-rosurgery, 5, 5. [Google Scholar] [CrossRef] [PubMed]
[23] Fager, C. (1977) Management of Cervical Disc Lesions and Spondylosis by Posterior Approaches. Clinical Neurosurgery, 24, 488-507. [Google Scholar] [CrossRef
[24] 吕京懋, 许卫兵, 杨东方. 颈椎后路椎间孔切开减压术治疗神经根型颈椎病的研究进展[J]. 中国骨与关节损伤杂志, 2019, 34(5): 553-555.
[25] Sasso, W.R., et al. (2016) Long-Term Clinical Outcomes of Cervical Disc Arthroplasty: A Prospective, Randomized, Controlled Trial. Spine, 42, 209-216. [Google Scholar] [CrossRef
[26] Goedmakers, C.M.W., et al. (2019) Cervical Radiculopathy: Is a Prosthesis Preferred over Fusion Surgery? A Systematic Review. European Spine Journal. [Google Scholar] [CrossRef] [PubMed]
[27] 张传健, 等. 人工颈椎间盘置换术临床应用探讨与存在问题[J]. 中国矫形外科杂志, 2017, 25(5): 442-447.
[28] Torre, J.D.L., Grauer, J.N. and Yue, J.J. () Update on Cervical Disc Arthroplasty: Where Are We and Where Are We Going? Current Reviews in Musculoskeletal Medicine, 1, 124-130. [Google Scholar] [CrossRef] [PubMed]
[29] 李游, 等. 人工颈椎间盘的研究与应用现状[J]. 中国组织工程研究, 2020. 24(12): 1941-1948.
[30] 吴巷, 任莉荣, 舒钧. 人工颈椎间盘置换术治疗颈椎病的研究进展[J]. 华西医学, 2018, 33(12): 1563-1567.
[31] 余成诚, 等. 人工颈椎间盘置换术并发症的研究进展[J]. 中华骨与关节外科杂志, 2016, 9(4): 347-350.
[32] Ruetten, S., et al. (2008) Full-Endoscopic Cervical Posterior Foraminotomy for the Operation of Lateral Disc Herniations Using 5.9-mm Endoscopes. Spine, 33, 940-948. [Google Scholar] [CrossRef
[33] Ruetten, S., et al. (2009) Full-Endoscopic Anterior De-compression versus Conventional Anterior Decompression and Fusion in Cervical Disc Herniations. International Or-thopaedics, 33, 1677-1682. [Google Scholar] [CrossRef] [PubMed]
[34] 陈亮, 等. 脊髓型颈椎病的研究进展[J]. 中国康复理论与实践, 2019, 25(8): 875-881.
[35] Park, Y., et al. (2009) Comparison of Anterior Cervical Fusion after Two-Level Discectomy or Single-Level Corpectomy: Sagittal Alignment, Cervical Lordosis, Graft Collapse, and Adjacent-Level Ossification. The Spine Journal, 10. [Google Scholar] [CrossRef] [PubMed]
[36] Lian, X.F., et al. (2010) Noncontiguous Anterior Decompression and Fusion for Multilevel Cervical Spondylotic Myelopathy: A Prospective Randomized Control Clinical Study. European Spine Journal, 19, 713-719. [Google Scholar] [CrossRef] [PubMed]
[37] Hale, J.J., Gruson, K.I. and Spivak, J.M. (2006) Laminoplasty: A Review of Its Role in Compressive Cervical Myelopathy. The Spine Journal, 6, S289-S298. [Google Scholar] [CrossRef] [PubMed]
[38] 宋晓飞. 后路单开门椎管扩大成形术与前路植骨融合内固定术治疗多节段脊髓型颈椎病的疗效比较[J]. 颈腰痛杂志, 2019, 40(3).
[39] 梁和胜, 肖立军, 邓德礼. 颈椎后路单开门与双开门椎管扩大修复多节段脊髓型颈椎病: 颈椎活动度对比[J]. 中国组织工程研究, 2016, 20(22): 3235-3241.
[40] 范志丹, 等. 颈椎后路单、双开门椎管扩大成形术在颈椎管狭窄症中的效果对比[J]. 中国当代医药, 2017, 24(16): 98-100.
[41] Luo, W., et al. () Open-versus French-Door Laminoplasty for the Treatment of Cervical Multilevel Compressive Myelopathy: A Meta-Analysis. World Neurosurgery. 117: p. 129-136. [Google Scholar] [CrossRef] [PubMed]
[42] 王晓滨等, 后路单开门椎板成形侧块螺钉内固定术治疗合并不稳定的多节段脊髓型颈椎病患者疗效和安全性[J]. 中华老年医学杂志, 2018. 37(2).
[43] Woods, B.I., et al. (2011) Laminoplasty versus Laminectomy and Fusion for Multilevel Cervical Spondylotic Myelopathy. Clinical Or-thopaedics and Related Research, 469, 688-695. [Google Scholar] [CrossRef] [PubMed]
[44] Anderson, P.A., et al. (2009) Laminectomy and Fusion for the Treatment of Cervical Degenerative Myelopathy. Journal of Neurosurgery Spine, 11, 150-156. [Google Scholar] [CrossRef
[45] 钱军, 等. 以交感神经症状为主颈椎病患者的手术治疗[J]. 中国脊柱脊髓杂志, 2009, 19(7): 515-519.
[46] 韩伟, 等. 椎动脉型颈椎病的外科手术治疗[J]. 中国骨伤, 2006(8): 469-471.
[47] 王俊, 等. 显微镜辅助下颈前路减压植骨融合术治疗颈椎病的疗效观察[J]. 颈腰痛杂志, 2018, 39(5): 597-599.
[48] 吴敏飞, 等. 3D打印椎间融合器在脊髓型颈椎病椎间盘摘除减压融合内固定术的应用效果[J]. 中华骨与关节外科杂志, 2019, 12(2): 98-101.
[49] Deep, K., Shankar, S. and Mahendra, A. (2017) Computer Assisted Navigation in Total Knee and Hip Arthroplasty. SICOT-J, 3, 50. [Google Scholar] [CrossRef] [PubMed]
[50] Koh, J. (2005) Computer-Assisted Navigation and Anterior Cruciate Ligament Reconstruction: Accuracy and Outcomes. Orthopedics, 28, s1283-s1287.
[51] Song, S.J. and Bae, D.K. (2016) Computer-Assisted Navigation in High Tibial Osteotomy. Clinics in Orthopedic Surgery, 8, 349-357. [Google Scholar] [CrossRef] [PubMed]
[52] Young, P.S., Bell, S.W. and Mahendra, A. (2015) The Evolving Role of Computer-Assisted Navigation in Musculoskeletal Oncology. The Bone & Joint Journal, 97, 258-264. [Google Scholar] [CrossRef
[53] 鹿洪辉, 沈惠良, 林欣. 计算机辅助导航技术在颈椎病模型前路手术的骨减压效果评估[J]. 中国临床解剖学杂志, 2008, 26(6): 624-628.