中央型颈椎间盘突出症64例  

Central herniation of cervical intervertebral disc in 64 cases

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作  者:齐伟力[1] 孔抗美[1] 张毓洲[1] 左铁臣[1] 王利民[1] 

机构地区:[1]河南医科大学第一附属医院骨科

出  处:《河南医科大学学报》1996年第2期24-25,共2页Journal of Henan Medical University

基  金:河南省科技攻关资助

摘  要:64例中央型颈椎间盘突出症,累及颈脊髓引起不同程度瘫痪。全部病例经颈前路椎间盘切除,椎体间植骨融合。随访2~9a,按JOA标准评定疗效。结果:优20例,良29例,改进8例,无效2例,有效率96.6%。提示:及早手术切除突出的椎间盘可以防止脊髓不可逆性损伤。This paper reports 64 cases of central herniation of the cervical intervertebral disc complicated with cervical myelopathy.All the cases of myelopathy received disc excision through anterior approach and the fusion of the interbody. Follow-up 2 to 9 years,the results were evaluated with the criteria of JOA. There were 20 cases excellent, 29 good, 8 improved,and 2 poor,The average rate of improvement was 96.6%. It is suggested that MRI may be of great value to the diagnosis of the herniation of the cervical intervertebral disc.The patient with central herniation of the cervical intervertebral disc should be treated with surgical excision as soon as possible to prevent the irreversible injury of the spinal cord.

关 键 词:颈椎 椎间盘突出 外科手术 

分 类 号:R681.530.5[医药卫生—骨科学]

 

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