脊髓型颈椎病中西医结合诊疗专家共识

脊髓型颈椎病是最严重的颈椎病亚型，具有临床症状重、致残率高、预后不理想等特点。中医和西医在脊髓型颈椎病不同阶段的诊疗各具有自身优势，为进一步规范脊髓型颈椎病的临床诊疗，提高临床疗效，基于前期研究经验，以循证医学证据为依据，经过全国专家组反复讨论，编制该中西医结合诊疗专家共识。本共识从脊髓型颈椎病的定义、病因病机、发病机制、诊断要点、治疗原则、中西医结合治疗、术后康复和护理调养等方面进行了全面介绍，以供临床医师参考。

Expert consensus for diagnosis and treatment of cervical spondylotic myelopathy with the integrated traditional Chinese and western medicine

Cervical spondylotic myelopathy (CSM) is the most serious subtype, which is characterized by severe clinical symptoms, a high disability rate, and poor prognosis. Traditional Chinese medicine and Western medicine have their own advantages in the diagnosis and treatment of CSM at different stages. In order to further standardize the clinical diagnosis and treatment of CSM and improve the clinical efficacy, based on previous experience and evidence-based medicine, after repeated discussions by the national expert group, the expert consensus on the diagnosis and treatment of integrated traditional Chinese and Western medicine was compiled. This consensus comprehensively introduces the definition, etiology, pathogenesis, diagnosis treatment principles, integrated traditional Chinese and Western medicine treatment, postoperative rehabilitation and nursing care of cervical spondylotic myelopathy, so as to provide reference for clinicians.