【摘要】 目的　探讨前路显微内镜在颈椎病手术治疗中的应用。　方法　回顾分析 2 0 0 1年 10月～ 2 0 0 2年 6月应用颈前路显微内镜手术系统进行前路颈椎间盘切除减压植骨融合术 2 1例临床资料。　结果　术中出血平均 15 0ml,术后 4 8h后拔除引流 ,5d拆线 ,平均住院 10d。患者术后 2d可带颈托下床活动 ,随访 6～ 12个月 ,平均 9个月。手术治疗效果按Odom分类系统评定 ,优 16例 ,良 4例 ,差 1例。优良率 95 %。并发症 3例 ,包括骨笼破裂 1例 ,声嘶 1例 ,脑干多发脑梗死 1例。　结论　前路显微内镜手术治疗颈椎病 ,创伤小 ,恢复快 ,能更清晰处理术野和椎体后缘病灶 ,对周围血管和神经保护性强 ,符合现代微创手术要求。更多还原

【Abstract】 Objective To evaluate the clinical application of anterior approach microendoscopic discectomy for cervical spondylosis. Methods Clinical data of 21 cases of cervical spondylosis from October 2001 to June 2002 treated by anterior approach decompression with bone allograft or autograft for cervical fusion by means of microendoscopic discectomy system were reviewed. Results The mean intraoperative blood loss was 150 ml. The drainage was removed 48 hours and the stitches taken out 5 days after the operations. The mean hospital stay was 10 days. All the patients got out of bed for motion wearing a cervical collar 2 days after the operations. Follow-up ranged 6～12 months with a mean of 9 months.The outcome was determined using Odom grading. Of the 21 cases, 16 were classified as excellent results, 4 as good, 1 as poor, the rate of excellent or good results being 95%.Complications were found in 3 cases:rupture of threaded fusion cage in 1 case;hoarseness in 1 case;and multiple infarction of brain stem in 1 case. Conclusions Anterior approach microendoscopic discectomy in the treatment of cervical spondylosis has the advantages of minimal invasion and rapid recovery. It offers a clear surgical vision for vertebral posterior margin and effective protection for blood vessels and nerves, conforming to the standards of minimally invasive surgery.更多还原