脊髓型颈椎病非手术综合治疗的近期与远期疗效观察

The Observation of Short-term and Long-term Curative Effects on Non- operative Synthesis Treatment of Cervical Spondylotic Myelopathy

目的 :总结脊髓型颈椎病 (CSM)非手术综合治疗的经验 ,观察近期与远期疗效。方法 :对 34 4例经过推拿、颈椎牵引和扩管、扩容药物等非手术综合治疗的CSM患者进行近期疗效观察 ,将入院和出院时的症状、体征对比作为近期疗效 ;对其中 12 9例进行了 1年～ 7年 11个月的随访 ,平均随访 2年 8个月 ,并将症状、体征、MRI、SEP、TCD等作为观察远期疗效的指标。结果 :非手术综合治疗的近期疗效优良率为 77 90 % ,有效率为 97 6 7% ;远期疗效优良率为80 6 2 % ,有效率为 98 45 %。出院后的推拿、牵引和服药能够巩固远期疗效。结论 :CSM患者可优先选用非手术方法综合治疗。

Objective To summarize the experience of non-operative synthesis treatment of Cervical Spondylotic Myelopathy (CSM) and observe the short-term and long-term curative effects on non-operative synthesis treatment of Cervical Spondylotic Myelopathy.Methods In this study,the short-term curative effects to 344 patients with CSM treated by manipulation,cervical traction and the medicine of dilating and expanding blood vessel were observed.The pre-care symptoms and signs were compared with the post-care symptoms and signs when the patients were discharged from hospital so as to study the short-term curative effects.Out of them,129 patients with CSM were followed up from one year to seven years and eleven months after leaving hospital,an average of two years and eight months.And the symptoms,signs,MRI,SEP and TCD were observed to study the long-term curative effects.Results The rate of good effect of short-term curative effects on non-operative synthesis treatment for CSM is 77 90%,and the effective rate is 97 67%,the good effect rate of long-term curative effect is 80 62%,the effective rate is 98 45%.Conclusion Non-operative synthesis treatment can be used first to CSM.