布袋牵引治疗神经根型颈椎病81例回顾性分析

Halter cervical traction for the treatment of cervical radiculopathy in 81 cases

回顾性分析神经根型颈椎病患者保守治疗的效果。纳入81例患者，神经放射痛表现在C7 40例，C6 37例，C5 2例，C8 2例。78例患者在接受治疗前进行MRI检查，显示71例在相对应的截断出现间盘突出，7例椎管狭窄。81例均进行佩戴围领固定和颈椎布袋牵引治疗，牵引质量5-6kg，治疗时间20min，1次/d，持续3-6周。患者症状平均持续时间为（43．0±8．3）d。其中63例患者（78％）对治疗性牵引有反应，疼痛明显减轻，3例患者不能忍受牵引，15例牵引失败。在63例接受牵引的病例中，有3例（1．89％）出现症状复发，并需要手术治疗。

The efficiency of conservative treatment for cervical radiculopathy was retrospectively reviewed. Eighty-one patients were included; 40 patients presented with C7, 37 with C6, 2 with C5, and 2 with C8 radiculopathy. Seventy-eight patients underwent MRI examination prior to treatment, showing intervertebral disc protrusion in 71 cases, and spinal stenosis in 7. Eighty-one patients underwent a treatment wearing a cervical collar and home-based haher cervical traction： 5-6 kg for 20 minutes, once a day for 3 to 6 weeks. The mean duration of symptoms prior to neurosurgical evaluation was （43.0±8.3） days. Sixty-three （78%） of 81 patients responded to therapeutic traction, experiencing significant or total pain relief, three could not tolerate the traction, and traction failed in 15 patients. Three （1.89%） of the 63 patients undergoing traction treatment suffered recurrence of symptoms and required surgery.