硬膜外注药治疗神经根型颈椎病的疗效观察

目的观察硬膜外间隙注药治疗神经根型颈椎病的疗效。方法全组60例,在C_(6～7)或C_7～T_1间隙穿刺达硬膜外间隙后,缓慢注入复合药液,内含甲基泼尼松龙或得宝松、弥可保、维生素B_(12),与2%利多卡因加生理盐水共15～20 ml,半个月1次,2～3次为1疗程。结果治疗后随访1年至2年半,疗效在2个月时为:优36例,占60.0%;良20例,占33.3%;可3例,占5.O%;差1例,占1.7%。结论硬膜外间隙注药治疗神经根型颈椎病疗效确切,远期效果好,且治疗过程患者痛苦小,经济实用。

Effect of epidural drug injection to treat cervical spondylopathy

Objective To explore the effect of epidural drug injection on treatment of cervical spondylopathy.Methods Sixty patients with cervical spondylopathy were slowly injected 15-20 ml drugs, including methylprednisolone or diprospan,methycobal,vitamin B_(12),2% lidocaine and normal saline,into the epidural space of C_(6-7) or C_7-T_1.The treatment was once half a month and continued 2-3 times.Results Alter two months,the therapeutic effect was excellent 36 cases(60.0%),good 20 cases(33.3%),poor 3 cases(5.0%),and only one case(1.7%)bad.Conclusion The treatment of cervical spondylopathy with drugs administration in cervical epidural space is positive and long-term effect,as well as less distress and economical.