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眩晕类型颈椎病及其手术治疗的机制(附63例分析)
Analysis of Mechanism of Cervical Spontylosis with Dizziness (A Report of 63 cases)
【摘要】 目的 探讨颈性眩晕的发病及手术治疗的机制。方法 通过对 6 3例以眩晕为主要症状 ,影像学检查证实颈髓受压的颈椎病患者手术治疗回顾分析 ,评价颈椎前后路减压对颈性眩晕的治疗价值。结果 显效 2 4例 ,占 38% ;有效 2 1例 ,占 33% ;无效 18例 ,占 2 9%。总有效率 71%。结论 颈髓的直接压迫是眩晕类型颈锥病的主要致病原因 ,通过有效的颈髓前路减压植骨融合和后路单开门减压手术 ,70 %的病人可得到明显改善或治愈
【Abstract】 Objective To analyse of mechanism of cervical spontylosis with dizziness.Methods The postoperative effect was anlysed on 63 case of cervical spontylosis with dizziness. All of the cases had been diagnosed by roentgenography that their cervical spinal cord had been oppresed.To evaluate the therapeutic value of cervical spontylosis with dizziness the anterior or posterior decompression was performed.Results After the operations,24 cases were excellent (38%);21 cases were good (33%); 18 cases were inefficient (29%); The excellent and good rate was 71%.Conclusion The direct compression on cervical spinal cord is the main reason of cervical spontylosis with dizziness. It is efficient in patients who have cervical spontylosis with dizziness using the cervical spinal cord decompression. Their symptoms about 70% patient can be improved evidently or cured completely.
- 【文献出处】 骨与关节损伤杂志 ,The Journal of Bone and Joint Injury , 编辑部邮箱 ,2003年01期
- 【分类号】R681.55
- 【被引频次】55
- 【下载频次】205