颈腰椎并发的椎间盘病变  

Association of Cervical Disc Disease with Lumbar Disc Disease

作　　者：马玉泉[1,2,3] 林鸿培 李光强[1,2,3] 杨立新 

机构地区：[1]北京同仁医院 [2]黑龙江省甘南县中医院 [3]北京南郊红星医院

出　　处：《中国矫形外科杂志》1999年第4期243-245,共3页Orthopedic Journal of China

摘　　要：报告１４例颈腰段并发的椎间盘病，其临床特点为脊髓型颈椎病和腰椎间盘突出症或腰椎管狭窄症的症状和体征。经Ｘ线、ＣＴ和ＭＲＩ检查显示颈、腰椎间盘并存的突出或膨出，多节段受累常合并混合型椎管狭窄症。该病常发于老年人。两节段受压症状可互相干扰，该病常造成误诊和漏诊，详细询问病史和全面查体是防止误诊和漏诊的关键。对患者进行随访，２节段症状并重时应首先做颈椎手术，症状一轻一重，选择症状较重的节段进行手术治疗。Fourteen consecutive patients who had the cervical disc disease associated with lumbar disc disease were clinical available for follow up.The syndrome (CLS) was characterized by the symptom and sign of either the cervical myelopathy or lumbar disc herniation and lumbar spinal stenosis.The cervical disc herniation associated with lumbar disc herniation or multisegments complex spinal stenosis had been identified by radiography,CT scan and MR image.CLS was popular in elder patients.CLS appeared to be making the diagnosis missed and wrong because the compression symptom of the two regions disturbing each other.The key of preventing wrong and misdiagnosis for surgeons,it should be completed by the history of the patient and the physical examination carefully.If one region disease is more serious than other or one region disease is the as serious as the others ,the serious region or the cervical region should be operated on first.Generally,the operative results of CLS are not good than that of the single cervical or lumbar disease.

关 键 词：颈腰椎 椎管狭窄症 椎间盘突出症 病理 

分 类 号：R681.530.2[医药卫生—骨科学]