摘要
目的：探讨颈椎间盘突出症的诊断和手术疗法。方法：分析颈椎间盘突出症１５６例临床资料，观察其临床表现、影像学改变及手术疗效。结果：颈椎间盘突出症可分为中央型和侧方型。前者以颈髓受压，后者以神经根受损为主要临床表现。ＭＲＩ可明确显示其类型。对１４２例进行术后随访８～８８个月（平均４２个月），术后优良率为９２％（１３０／１４２）。结论：ＭＲＩ对本病的诊断具有重要价值。对病情较重，尤其中央型突出者及经正规非手术治疗效果不佳者应选择以颈前路手术为主的手术疗法。
Objective:To study the ideal methods for diagnosis and treatment of cervical disc herniation. Methods: A hundred and fiftysix patients with cervical disc herniation were presented. Magnetic resonance imaging (MRI) was conducted in all patients. A hundred and thirtythree of them underwent cervical anterior surgery and 23 cervical posterior surgery. The followup was obtained in 142 of them for 8～88 months (averaging 42 months). Results: The disc herniations were classified into two types: central and posterolateral disc herniation according to the MRI findings. The followup showed that excellent and good results were achieved in 92%. Conclusion: MRI is valuable for the diagnosis of cervical disc herniation and the anterior surgery is an ideal method for surgical management of cervical disc herniation.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
1997年第6期516-518,共3页
Academic Journal of Second Military Medical University
基金
上海市医学领先专业重点学科基金
关键词
颈椎
椎间盘突出
NMR
成像
外科手术
cervical vertebrae
cervical disc herniation
magnetic resonance cervical anterior surgery
