急性颈椎间盘突出症的诊断与治疗（附36例报告）

目的：探讨急性颈椎间盘突出症的诊断和治疗。方法：对３６例急性颈椎间盘突出症进行磁共振成像（ＭＲＩ）检查，观察其特点。采取颈前路手术方法治疗，并对其中３３例进行６～５９个月（平均３４个月）随访。结果：在ＭＲＩ片上，本病可分为中央型和侧方型，以前者居多。随访结果显示：术后优良率为９１．７％。结论：ＭＲＩ对本病的确诊具有重要价值。对保守治疗效果不佳者，应选择颈前路手术治疗。

Diagnosis and Treatment of Acute Disc Herniation of Cervical Spine: A Report of 36 Cases

Aim: To study the ideal methods for diagnosis and treatment of acute cervical disc herniation. Methods: Thirty six patients with acute disc herniation of the cervical spine were presented. Magnetic resonance imaging (MRI) was conducted in all patients. All of them underwent cervical anterior surgery and the follow up was obstained in 33 of them for 6 to 59 months (averaging 34 months). Results: The disc herniations were classified into two types: central disc herniation and posterolateral disc herniation according to the MRI findings. The follow up showed that excellent and good results were achieved in 91.7%. Conclusion: MRI is valuable for the diagnosis of acute disc herniation of the cervical spine and the anterior surgery is an ideal remedy for surgical management of acute cervical disc herniation.