交感型颈椎病的再认识.pdfVIP

怀化医专学报 JOURNAL OF HUAIHUA MEDICAL COLLEGE 2007，6(2) 59 交感型颈椎病的再认识 张英俊，张建波，张伟东 (怀化医专临床医学系，湖南怀化 418000) [摘 要] 目的 通过一系列临床病例观察，对交感型颈椎病的发病因素、临床表现及其诊断方法作进 一 步认识。 方法 回顾分析22例交感型颈椎病患者的临床资料，根据症状缓解或消失来评价治疗效果。 结果 随访18例，均为非手术疗法。随访1年得到恢复者8例，随访2年得到恢复者 1O例。交感型颈椎病发 病与颈椎解剖结构动态变化因素相关，颈交感神经功能紊乱及颈交感神经受刺激的程度决定了临床表现，典型的 症状为诊断提供依据。 结论 非手术疗法是简单有效的方法，可使症状缓解、功能改善。适应于病情不是很 重、患者不愿意接受手术治疗以及高龄患者合并有重要器官疾病者。对较重的颈椎不稳，或椎间盘退变压迫的患 者，应选择手术治疗。 ， [关键词] 颈椎病； 交感型； 非手术治疗； 诊断 [中图分类号] R445 [文献标识码] A [文章编号] 0163(2007)02—0059—03 Further Recogntion of the Sympathetic Cervical Spondlylopathy ZHANG Ying—jun，ZHANG Jian—bo，ZHANG Wei—dong (Clinical Department Huaihua Medwal College，Huaihua，Hunan 418000) [Abstract] Objective To understand the pathogenesis clinical characteristics and diagnosis of the sympathetic cervical spondylopathy．Methods The clinical data from 22 cases of the sympathetic cervical spondylopathy were retrodpectively analysed，and the therapeutic efficacy was evaluated according to the symptom the remission or deprivation of．Results 14 cases were followed up for 1 year and 2 months on average of them，10 cases were excellent(71％)． The pathogenesis of the sympathristic cervical spondylopathy was related to the cervical dynamic anatomical structural changes．The clinical characteristics were decided by the dysfunctions of the cervical sympathetic nerves and the grade of sympathetic stimulation。and the typical symptoms were the basis of diagnosis．Conclusion The non—operative treat— ment is simple and effective．It may alleviate symptom and transform function．It is adapt to the