正确认识交感型颈椎病,最大限度减少误诊,误治.PDFVIP

DOI:10.16016/j.1000-5404.2014.06.007 36 6 第 卷第 期 第 三 军 医 大 学 学 报 Vol． 36 ，No． 6 20 14 3 30 J Third Mil Med Univ Mar． 30 20 14 5 17 年 月 日 文章编号:1000-5404 (20 14 )06-0517 -04 专家述评 ， 、 正确认识交感型颈椎病 最大限度减少误诊 误治 刘 洪 (100034 ， ) 北京 北京大学第一医院骨科 ［ ］ ; ; ; 关键词 交感型颈椎病 头晕 误诊 误治 ［ ］ Ｒ681． 55 ［ ］ A 中图法分类号 文献标志码 Understand cervical spondylosis with sympathetic symptoms ， decrease its misdiagnosis and mistreatment Liu Hong (Department of Orthopedics ，First Hospital of Peking University ，Beijing ，100034 ，China) ［Abstract］ The diagnosis and treatment of cervical spondylosis with sympathetic symptoms (CSSS)has remained controversial． Here ，we defined CSSS as the disease of a series of symptoms induced by stimulation or compression of sympathetic nervous system due to degeneration of the cervical spine． Clinical misdiagnosis and mistreatment commonly existed because of the complexity and variety of sympathetic symptoms． Though recent report on the results of surgical treatment for CSSS are encouraging ，long-term follow-up of the surgically treated cases are still needed． Lots of work including animal experiments as well as prospective randomized and controlled clinical studies are warranted to further investigate the real etiology and mechanism of CSSS． Future research on CSSS should aim to investigate sympathetic symptoms and sympathetic nerves reflex rather than vertebral artery related vascular ste