颈椎间盘突出症的手术治疗  

Surgical treatment of cervical disc herniation

作　　者：吴洁石[1] 包聚良[3] 徐瑞生[1] 陆华[2] 王刊石[1] 王雪松[1] 薛骏[1] 

机构地区：[1]无锡市中西医结合医院、南通大学第三附属医院脊柱外科,214041 [2]无锡市中西医结合医院、南通大学第三附属医院神经外科,214041 [3]上海长征医院骨科

出　　处：《中华神经外科杂志》2012年第4期396-399,共4页Chinese Journal of Neurosurgery

摘　　要：目的探讨颈椎间盘突出症的临床病理特点、临床分型及手术要点。方法回顾性分析1999年1月至2010年10月接受手术治疗的颈椎间盘突出症患者的临床资料。结果颈椎间盘突出症128例，均经手术治疗。其中脊髓型96例，神经根型22例，混合型10例。脊髓型和混合型颈椎间盘突出症使用JOA评分，由术前（12．30±1．05）分至术后（16．70±1．11）分。神经根型颈椎间盘突出症使用VSA评分：由术前（8．10±1．37）分至术后（0．30±0．19）分。结论认识其游离压迫物和硬膜囊、后纵韧带、神经结构之间的相互关系，正确选择手术方案和手术细节可以确保手术安全性和有效率。Objective To study the pathology, clinical classification and surgical treatment of cervical disc herniation. Methods The clinical data of patients of cervical disc herniation from January 1999 to October 2010 were collected. Results All the 128 cases of cervical disc herniation were surgically treated. Among the 128 cases, 96 cases with myelopathy, 22 cases with radiculopathy and 10 cases with both. JOA and VSA scores were used to evaluate the surgical effectiveness respectively for myelopathy and radiculopathy. JOA score was improved from 12. 30 ± 1.05 before to 16. 70 ± 1.11 after operation. VSA score was improved from 8.10 ± 1.37 before to 0.30 ±0. 19 after operation. Conclusions The high safety and effectiveness of surgery for cervical disc herniation could be achieved both by the awareness of the pathological characteristics of how the sequestrated disc materical relates to the nerve structure in the canal and by paying attention to specific operation details.

关 键 词：颈椎间盘突出症 后纵韧带 手术治疗 

分 类 号：R687.3[医药卫生—骨科学]