肌萎缩型颈椎病的诊治及预后  

Diagnosis, treatment and prognosis of cervical spondylitic amyotrophy

作　　者：夏刚[1] 李会明[1] 张学利[1] 徐天同[1] 

机构地区：[1]天津市红十字会医院骨科,天津300130

出　　处：《临床骨科杂志》2004年第1期23-25,共3页Journal of Clinical Orthopaedics

摘　　要：目的　探讨肌萎缩型颈椎病的发病机制、诊断、治疗及预后。方法　回顾性分析 6例患者的起病、症状、体征、影像学资料、诊疗及预后。结果　患者均行颈前路椎体次全切除手术 ,术后均有不同程度恢复。结论　肌萎缩型颈椎病的发病与颈脊髓前角和颈脊神经前根受损有关 ;其临床表现、体征与一般的根型或髓型颈椎病有明显不同 ,易与部分神经内科疾患相混淆 ;提高对其发病机制的认识 ,熟识其临床特点 ,有助于尽早明确诊断 ;前路手术应是主要手术方式 。Objective To explore the pathogenesis, diagnosis, treatment and prognosis of cervical spondylitic amyotrophy. Methods The onset, the feature of clinical symptoms and signs of 6 cases and their image data, diagnosis, treatment and prognosis were analyzed retrospectively. Results All cases were performed anterior subtotal somatectomy and all cases gained recovery of certain degree. Conclusion The damage of cervical spinal anterior horn and anterior root is related with cervical spondylitic amyotrophy, which is easy to be misdiagnozed with certain neurologic diseases. Early operation is of very important for the prognosis.

关 键 词：颈椎病 椎板切除术 预后 

分 类 号：R274[医药卫生—中医骨伤科学] R681.5[医药卫生—中医学]