颈椎间盘突出症的诊断及治疗

Diagnosis and treatment of cervical protrusion of intorvertebral disc

目的 探讨颈椎间盘突出症的临床表现、诊断及治疗。 方法 对 5 4例颈椎间盘突出症患者行前路颈椎间盘切除 ,植骨融合或置入PCB系统。 结果 5 4例中 2 9例获得完整随访 ,平均随访时间 2年7个月 ,根据综合疗效评定 (4 0分法 )治疗效果 ,优 10例 ,良 15例 ,进步 4例 ,总优良率为 86 %。 结论 有明显的症状体征或仅有轻微体征或虽无体征、经保守治疗 3个月不见改善的颈椎间盘突出患者 。

Objective To explore the clinical feature, diagnosis and theraputic choice of cervical protrusion of intervertebral disc(CPID). Methods Fifty-four cases with CPID were treated by discetomy and intenvertebral bonegraft-fusion or discetomy and insertion PCB system by anterior approach. Results Twenty-nine cases were sufficient follow-up in the fifty-four case, the mean time of follow-up was two years and seven months (from seven months to seven years and seven months) .The curative effect was analysed on the clinical grade and roentgenographic grade criteria (forty grade methed). The clinical outcome was graded as excellent in 10cases, good in 15 cases, improvement in 4 cases, the rate of excellent or good in the treatment group was 86%(25/29). Conclusion It is necessary to operative management for the patients with CPID with discectomy and intervertebral bonegraft-fusion by anterior approach when there are clinic signs or lightly signs only, and although no clinic signs but no improvement after conservative treatment in three monthes.