针刀治疗脊髓型颈椎病的几点体会

Some experience in the treatment of cervical spondylotic myelopathy with acupotomy

目的通过回顾性分析66例应用针刀治疗的脊髓型颈椎病轻型非骨性压迫患者的临床资料,来分析和总结应用针刀治疗脊髓型颈椎病的体会。方法对确诊的66例脊髓型颈椎病轻型非骨性压迫患者全部给予针刀松解术治疗,每周治疗1次,4次为1个疗程。结果 66例患者经1~3个疗程的治疗后,显效42例,占63.6%;有效23例,占34.9%;无效1例,占1.5%;总有效率为98.5%。结论小针刀疗法在一定范围内降低了本病的手术率,使部分非骨性压迫的患者避免了手术。但临床医生必须清醒地认识到,首先要准确把握针刀治疗脊髓型颈椎病的适应证型,其次只有严格遵守针刀操作规程,认真总结治疗体会,才能使脊髓型颈椎病的非手术治疗安全可靠。

Objective Through retrospectively analyzing the clinical data of 66 cases with mild non bony compression of cervical spondylotic myelopathy by acupotomy treatment,to analyze and summarize the experience of applying acupotomy to treat cervical spondylotic myelopathy. Methods All of the 66 patients with mild non bony compression of cervical spondylotic myelopathy were treated with acupotomy,once a week,four times for a period. Results 66 patients were treated with 1 to 3 courses of treatment,42 cases were markedly effective,accounting for 63.6%,23 cases were effective,accounting for 34.9%,1 case was invalid,accounting for 1.5%,the total effective rate was 98.5%. Conclusion The rate of surgery was reduced through the application of acupotomy in a certain range. Some patients with non bony compression were avoided surgery. But,clinicians must clearly recognize that,first of all,to accurately grasp the indications of acupotomy in the treatment of cervical spondylotic myelopathy,secondly,only to strictly abide by the acupotomolgy operation rules,conscientiously sum up the experience in the treatment of cervical spondylotic myelopathy,in order to ensure the safe and reliable nonoperative treatment of cervical spondylotic myelopathy.