探讨交感型颈椎病的手术疗效

目的 探讨交感型颈椎病手术治疗的效果.方法 回顾性分析本组22例交感型颈椎病的手术疗效,男8例,女14 例,年龄42～76岁,中位年龄(59.68±9.75)岁,病程12～120个月,平均(30.73±31.60)个月.术前22例患者,颈椎正侧位及动力位均提示颈椎不稳,交感神经症状包括:头晕、头痛、眩晕、恶心、呕吐、耳鸣、视物模糊、心慌等.交感神经症状评价采用20分评分法及患者主观满意度评定法(分为优、良、中、差4个等级).结果 22病例均获得随访,术后随访时间5～43个月,截至末次随访,平均(19.33±12.97)个月,术前交感症状20评分3～8分;平均(5.09±1.95)分;末次随访

Surgical management of the sympathetic cervical spondylosis

Objective To investigate the effect of surgical treatment of the sympathetic cervical spondylosis.Methods 22 cases with sympathetic cervical spondylosis,8 males and 14 females,aged 42-76 years,median age of(59.68±9.75) years,were studied.Their courses of disease were from 12 to 120 months with the average of(30.73±31.60) months.All the cases have shown that cervical instability in the X ray,and the sympathetic symptoms include:dizziness,headache,vertigo,nausea,vomiting,tinnitus,blurred vision,nervousness and so on.Sympathetic symptoms were evaluated by the 20 points score and by subjective patient satisfaction assessment(4 grades:excellent,good,fair,and poor).Results All patients were followed up for 5-43 months,the average were(19.33±12.97) months,preoperative sympathetic symptoms of 20 score were 3 to 8 points,with the average of(5.09±1.95) points,and that of 0-2 minutes postoperatively were(0.64±0.65) points.There was statistical significance(P<0.05) between them.The results of subjective patient satisfaction assessment were:excellent in 13 cases,good in 6 cases,fair in 2 cases and poor in 1 case,and excellent rate was 86.4%.Postoperative X-ray of all the cases showed good fusion.Conclusion Cervical instability is an important factor in sympathetic cervical spondylosis,and the disc degeneration is a prominent cause which lead to the instability.The surgical management has a good effect on treatment of sympathetic cervical spondylosis.