【摘要】 目的：探讨颈椎间盘突出症合并后纵韧带肥厚病例的手术治疗问题。方法：回顾分析了经前路手术治疗的颈椎间盘突出症合并后纵韧带肥厚病例８３例，占同期前路手术治疗颈椎间盘突出症病例（３７６例）的２２．０７％。重点介绍了如何选择手术适应症，特别是术中如何判定是否应该切除后纵韧带，手术技巧及注意事项等。结果：全组术后经３～５９个月，平均２０．６个月随访，优良率达９１．５７％。切除之后纵韧带经病理检查证实有增生、肥厚、纤维化等。结论：对典型的颈椎间盘突出症需经前路手术，合并有后纵韧带肥厚者，应在切除突出间盘的同时切除后纵韧带，以使颈髓完全解除束缚，疗效更加趋于完善。更多还原

【Abstract】 Objective:In order to gain better outcome,the surgical treatment for patients with cervical disk herniation combined with hypertrophy of the posterior longitudinal ligament were discussed.Method:Eighty three cases of cervical disk herniation patients combined with hypertrophy of the posterior longitudinal ligament underwent anterior operation were analysed in this study.These patients account for 22 07% in all the 376 patients with cervical disk herniation.The article emphasized on discussing how to select surgical indication,especially how to evaluate the indication to resect the posterior longitudinal ligament in operation,the skill and matters needing pay attention to in the operation.Result:91 57% cases had exellent outcome by 3～59 months(mean,20 6) follow up.It was confirmed that hyperplasia,hypertrophy and fibrosis occured to the resected posterior longitudinal ligament by pathological examination.Conclusion:The patients with typical cervical disk herniation should be treated with anterior approach and those who also combined with hypertrophy of the posterior longitudinal ligament should be resected at the same time in order to relieve the compression on cervical spinal cord completely,so that the effect tend to be perfect.更多还原