【摘要】 目的探讨颈性眩晕外科治疗的指征及疗效。方法回顾分析2004年1月~2006年4月颈性眩晕患者100例,均经颈椎动力位及MRI检查。其中颈椎不稳21例:1个节段不稳5例,2个节段不稳10例,3个节段不稳6例;颈椎不稳主要发生于C4,5、C5,6节段;21例患者中MRI显示共43个不稳节段,其中32个节段合并颈椎间盘退变突出、硬膜囊出现压迹。本组21例患者均行颈前路椎间盘切除减压融合内固定术。结果21例均获随访,时间为12~39个月,术后12例眩晕获得缓解,5例有改善,4例眩晕改善不显著。手术治疗优良率为80%。结论颈椎不稳合并硬膜囊受压可以作为颈性眩晕的手术指征;采用颈前路椎间盘切除减压融合内固定治疗有较高的优良率。更多还原

【Abstract】 Objective To investigate the effect and indications of surgical treatment for cervical vertigo. Methods A total of 100 patients with cervical vertigo underwent flexion-extention X-ray photograph and sagital MRI were reviewed retrospectively from Jan 2004 to Apr 2006. Cervical instability was observed in 21 patients(5 in one level, 10 two levels and 6 three levels) with the C4,5 and C5,6 level being the mainly involved. Of 43 instable levels, 32 showed disc degeneration and slight impression on spinal dura mater. All the 21 patients underwent anterior cervical discectomy and fusion. Results All patients were followed-up from 12-39 monthes, 80% had excellent or good result which evaluated by the relief degree of vertigo(12 relieved, 5 improved and 4 had no improvement. Conlusion The indications for surgical treatment of cervical vertigo is cervical instability combined with spinal dura mater compression. Anterior cervical discectomy and fusion is an effective operation for cervical vertigo.更多还原