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颈椎间盘突出症的诊断与治疗
引用本文:吾米提·艾拜都拉,买尔哈巴·阿不都热依木,艾尔西丁·阿布来提,买买提艾力·艾则孜,艾尔肯·沙德尔.颈椎间盘突出症的诊断与治疗[J].新疆医科大学学报,2007,30(12):1379-1380.
作者姓名:吾米提·艾拜都拉  买尔哈巴·阿不都热依木  艾尔西丁·阿布来提  买买提艾力·艾则孜  艾尔肯·沙德尔
作者单位:1. 新疆医科大学第一附属医院骨科中心创伤一科,新疆,乌鲁木齐,830011
2. 新疆医科大学第一附属医院骨科手术室,新疆,乌鲁木齐,830011
摘    要:目的:探讨颈椎间盘突出症的诊断和治疗方法。方法:分析颈椎间盘突出症72例临床资料,观察其临床表现、影像学改变及手术疗效。结果:颈椎间盘突出症分为中央型和侧方型。前者以脊髓受压,后者以神经根受损为主要临床表现。MRI检查可以明确显示类型。对72例临床病例进行术后随访30-37个月,优良率为90%。结论:MRI对本病的诊断具有重要价值。对病情较重,尤其神经根型颈椎间盘突出症者及经过正规非手术治疗效果不佳者应选择以颈前路手术为主的治疗方法。

关 键 词:颈椎  颈椎间盘突出  颈前路手术
文章编号:1009-5551(2007)12-1379-02
收稿时间:2007-01-10
修稿时间:2007年1月10日

Diagnosis and treatment for cervical disc herniation
Abstract:Objective: To study the ideal methods for diagnosis and treatment of cervical disc herniation.Methods: Seventy two patients with cervical disc herniation were reviewed.Magnetic resonance imaging(MRI) was conducted in all patients.Sixty one of them underwent cervical anterior surgery and eleven cervical posterior surgery.The following-up was obtained in all of them for 30~37 months(averaging 33.5 months).Results: The disc herniation were classified in two types: central and posterolateral disc herniation according two the MRI findings.The following-up showed that exellent and good results were achieved in 90%.Conclusion: MRI is valuable for the diagnosis of cervical disc herniation and the anterior surgery is an ideal method for surgical management of cervical disc herniation.
Keywords:MRI
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