摘要
目的对颈椎间盘突出症进行分型,并探讨其临床意义。方法手术治疗颈椎间盘突出症110例,根据MRI特点分为Ⅰ型,Ⅱ型和Ⅲ型,并就分型和临床的关系,选择手术方式。结果两节段以下的各型突出,含有Ⅱ型或Ⅲ型突出的多节段颈椎间盘突出,伴动力性颈椎不稳的各型突出,均应首选前路手术;三节段以上的Ⅰ型突出,发育性颈椎管狭窄合并Ⅱ型或Ⅲ型突出,应选择后路手术。结论颈椎间盘突出症的分型对手术入路选择有指导意义。
Objective To analysis the classification of cervical disc herniation and its clinical significance. Methods 110 cases who had undergone surgical treatment were investigated, the disc herniation were classified into three types according to the MRI. Results Anterior route discectomy and fusion should be chosen if there exist the following situations?押one or two-segments disc herniation of all types, multilevel disc herniation involves type Ⅱ or type Ⅲ protrusion, dics herniation accompanied with dynamic instability at the same segment. Posterior laminoplasty should be taken if there is type Ⅰ herniation involves more than three segments,and type Ⅱor type Ⅲ herniation accompanied with canal stenosis. Conclusion The classification of cervical disc herniation is helpful for the selection of operations.
出处
《颈腰痛杂志》
2004年第3期164-166,共3页
The Journal of Cervicodynia and Lumbodynia
