脊髓型颈椎病的治疗探讨
摘要
通过回顾近年来中西医对脊髓型颈椎病的有关文献,客观地评述了中医对颈肩痹痛和现代医学对该病的认识,力求针对本病的病因病机,采取多种措施来为本病的临床诊断及治疗提供一些思路。
本文根据脊髓型颈椎病常见特征,选择29项与本病发病有关的指标并据此建立研究对象的纳入标准。通过对42例符合预选指标的患者进行1—2年(平均1.5年)的随访追踪观察,并将手术组与非手术组的各项指标做对照研究,以此来探讨脊髓型颈椎病早期诊断的可能性,筛选预示脊髓型颈椎病发作的临床、影像学及电生理指标。结果 14例演变为脊髓型颈椎病行早期手术处理,术后疗效良好。有15项指标与脊髓型颈椎病发病密切相关,结论脊髓型颈椎病的早期诊断是有可能的。
This article is to review the cervical shoulder radicular pain and basic theries of cervical spondylotic myelopathy in Traditional Chinese Medicine, through the literature about this disease in Traditional Chinese Medicine. According to the etiological factors, pathogenesis, diagnosis and treatment of cervical spondylotic myelopathy treatment methods to diagnose and treat this disease.Based on the common characteristics of cervical spondylotic myelopathy select 29 indices concerned with pathogenesis to establish the standards for bringing into research objects,And clarify the possibility of diagnosing cervical spondylotic myelopathy in early stage,filtrate paroxysm indices of clinic image and electrophysiology of this disease through the one to two years (coverage 1.5 years)observation of 42 patients who were accord with the standards,and the contrast research of ever index in operation group and non-operation group.As a result, evolutive 14 patients of cervical spondylotic myelopathy took the operation treatment in early stage and had good effect after operation. 13 indices were closely correlated with the pathogenesis of cervical spondylotic myelopathy.The conclusion can be drawn that it is possible to diagnose cervical spondylotic myelopathy in early stage.
本文根据脊髓型颈椎病常见特征,选择29项与本病发病有关的指标并据此建立研究对象的纳入标准。通过对42例符合预选指标的患者进行1—2年(平均1.5年)的随访追踪观察,并将手术组与非手术组的各项指标做对照研究,以此来探讨脊髓型颈椎病早期诊断的可能性,筛选预示脊髓型颈椎病发作的临床、影像学及电生理指标。结果 14例演变为脊髓型颈椎病行早期手术处理,术后疗效良好。有15项指标与脊髓型颈椎病发病密切相关,结论脊髓型颈椎病的早期诊断是有可能的。
This article is to review the cervical shoulder radicular pain and basic theries of cervical spondylotic myelopathy in Traditional Chinese Medicine, through the literature about this disease in Traditional Chinese Medicine. According to the etiological factors, pathogenesis, diagnosis and treatment of cervical spondylotic myelopathy treatment methods to diagnose and treat this disease.Based on the common characteristics of cervical spondylotic myelopathy select 29 indices concerned with pathogenesis to establish the standards for bringing into research objects,And clarify the possibility of diagnosing cervical spondylotic myelopathy in early stage,filtrate paroxysm indices of clinic image and electrophysiology of this disease through the one to two years (coverage 1.5 years)observation of 42 patients who were accord with the standards,and the contrast research of ever index in operation group and non-operation group.As a result, evolutive 14 patients of cervical spondylotic myelopathy took the operation treatment in early stage and had good effect after operation. 13 indices were closely correlated with the pathogenesis of cervical spondylotic myelopathy.The conclusion can be drawn that it is possible to diagnose cervical spondylotic myelopathy in early stage.
引文
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