肌萎缩型颈椎病的临床诊断及治疗  

Diagnosis and Treatment of Cervical Spondylitic Amyotrophy

作　　者：宋小虎[1] 徐荣明[2] 赵刘军[2] 刘美学[1] 

机构地区：[1]浙江中医药大学第二临床学院,杭州310053 [2]宁波市第六医院脊柱外科

出　　处：《中国中医骨伤科杂志》2013年第2期37-38,41,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨肌萎缩型颈椎病的临床特点、诊断、治疗及预后。方法:总结2006年5月-2011年12月诊治的9例肌萎缩型颈椎病患者的临床表现、影像学和肌电图检查、治疗效果及预后。结果:8例患者行手术治疗,术后肌力均有不同程度恢复;1例患者行保守治疗,随访肌力无明显恢复。6例近端型患者术后恢复优于2例远-近端混合型患者。结论:肌萎缩型颈椎病是一种临床少见的特殊类型颈椎病。其临床症状体征易与运动神经元疾病及平山病混淆而漏诊、误诊,MRI和肌电图检有助于确诊,及时的手术减压治疗对肌萎缩恢复有明显帮助,近端型患者手术预后优于远-近端混合型患者。Objective： To investigate the clinical characteristics, diagnosis, treatment and prognosis of cervical spondylitic amyotrophy. Methods：From June 2005 to December 2011, 9 cervical spondylitic amyotrophy patients were included in this study. Their clinical manifestation, MRI, EMG and treatment were analyzed retrospectively. Results ： Eight cases were per- formed anterior subtotal somatectomy and all gained recovery of certain degree. One patient who received expectant treat- ment had no recovery. Six cases of proximal-type patients had a better recovery than 2 cases of proximal-distal-type pa- tients. Conclusion：Cervical spondylitic amyotrophy is a rare type of cervical spondylitic disorder, and is easily misdiagnosed with motor neuron disease and Hirayama disease. MRI and electromyography can help to make correct diagnosis. Surgical treatment can help to improve muscle power. The prognosis in proximal-type is better than that of distal-type.

关 键 词：肌萎缩 颈椎病 诊断 治疗 

分 类 号：R681.55[医药卫生—骨科学]