交感型颈椎病的治疗进展  

Treatment of sympathetic cervical spondylosis

作　　者：贾林[1] 冯艳如[1] 

机构地区：[1]天津市第三医院骨科,天津300250

出　　处：《中国矫形外科杂志》2009年第11期843-845,共3页Orthopedic Journal of China

摘　　要：综合近年来国际国内所发表的各类期刊杂志,对交感型颈椎病的定义、发病机制及治疗方法作以概括、探讨。所有作者均认为Barre-Lieou提出的"颈后交感神经综合征",即本文所述的交感型颈椎病的定义,其发生机制主要为颈椎退变刺激或压迫颈部交感神经纤维,或导致椎动脉痉挛。其治疗方法主要为保守治疗及慎重手术治疗。交感型颈椎病主要发病原因为颈椎失稳,刺激交感神经纤维致椎动脉痉挛缺血。其治疗方法主要以保守治疗为主,手术为辅,但容易复发。手术治疗的方法主要是颈椎间盘摘除,融合植骨内固定,消除失稳因素,但其适应证相对较窄。According to the recent years＇ review of international and domestic relating journals and collections, the conception, mechanism, and treatment of sympathetic cervical spondylosis are summarized. All authors have agreed that posterior cervical nerve syndrome proposed by Barre - Lieou and addressed in this paper, whose mechanism mainly is cervical vertebral degeneration stimulus, or oppression upon sympathetic nervous fiber, or spasm of vertebral artery, is generally treated by non - operative methods and cautious operative methods. The main cause of sympathetic cervical spondylosis is cervical vertebral instability, which stimulates sympathetic nervous fiber to make vertebral artery to convulse. And its treatment is mainly conservative treatment and supplementary operation. But it is usually subject to Operative methods include cervical disk excision, cervical inter - body fusion and bone grafting and inner fixation, instabte factor elimination. But eligible condition is relatively short.

关 键 词：交感型 颈椎病 治疗 

分 类 号：R681.55[医药卫生—骨科学]