伴骨质疏松的交感神经型颈椎病的临床治疗谢斌①陈允震①刘海春①.docVIP

伴骨质疏松的交感神经型颈椎病的临床治疗 谢 斌① 陈允震① 刘海春① 裴保安① ①山东大学齐鲁医院骨创伤科 山东济南 250012 摘要：为了探讨骨质疏松在交感神经型颈椎病中的作用及临床治疗的方法，对交感神经型颈椎病患者34例，21例同时患骨质疏松症的患者进行研究，观察抗骨质疏松治疗、围领制动及手术治疗的效果。结果显示，13例单纯颈椎病组的抗骨质疏松、围领制动治疗后症状无明显缓解(P0.01),21例伴骨质疏松症组抗骨质疏松、围领制动治疗后症状可缓解(P0.05)。因此，骨质疏松是导致交感神经型颈椎病的重要因素，手术治疗的同时抗骨质疏松治疗有良好的效果。 关键词：骨质疏松，交感神经型颈椎病，临床治疗 中图分类号：R681.55 文献标识码：A 文章编号：1002-0772(2008)3-0042-02 The Method of Clinical Therapy in Osteoporosis Patients Associated with Sympathetic Cervical Spondylosis XIE Bin, CHEN Yun-zhen,LIU Hai-chun,et al.The Orthopedics of Qilu Hospital of Shandong University,Jinan 250012,China Abstract：To investigate the effect of osteoporosis in the sympathetic cervical spondylosis and the method of therapy.34 patients who suffered from sympathetic cervical spondylosis and have been treated in our hospital from 1996 to 2006, 21 patients suffered from osteoprosis at the same time were investigate the effect after the antiosteoporosis therapy, scarf fixation therapy and surgery therapy. There was no effect to the 13 patients who suffered from cervical spondylosis after antiosteoporosis therapy, scarf fixation therapy(P0.01). the symptom of the 21 patients who suffured from osteoporosis at the same time was alleviated after the antiosteoporosis therapy and scarf fixation therapy(P0.05).Therefore,osteoporosis is an important element to sympathetic cervical spondylosis,it will have a good effect to treat the sympathetic cervical spondylosis when gave antiosteoporosis therapy at the same time to gave surgery therapy. Key Words：osteoporosis,sympathetic cervical spondylosis,clinical therapy 对于交感神经型颈椎病合并骨质疏松症患者的治疗，目前主要采用常规治疗颈椎病的方法，对颈椎骨质疏松因素考虑不多，针对性不强，导致治疗效果不够满意。针对这些情况，本文就34例交感神经型颈椎病（其中有21例伴有骨质疏松症）患者的治疗结果进行了回顾性分析，并根据结果对交感神经型颈椎病合并骨质疏松症患者治疗中相关问题进行了分析和探讨。 1 材料与方法 1.1 一般资料 本研究共34例患者。年龄52岁~70岁，男11例，女23例。根据有无合并骨质疏松症分为两组：颈椎病并骨质疏松组21例，男8例，女13例，其中有14例X线示有颈椎不稳，采用如下标准：颈椎侧位过伸过屈位X线片,发现相邻锥体后缘前后滑移≥3.5 mm或节段性成角 11°为颈椎不稳；颈椎病组（不合并骨质疏松）13例。 1.2 方法 进行桡骨骨密度测定确定有无骨质疏松，30例全部在术前术后给予鲑鱼降钙素、维生素D抗骨质疏松治疗及围领制动