| 脊髓型颈椎病预后相关因素的研究进展 |
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Received:November 23, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 唐勇 |
TANG Yong |
中国人民解放军海军总医院骨科, 北京 100048 |
Department of Orthopaedics, the Navy General Hospital of China People's Liberation Army, Beijing 100048, China |
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| 贾治伟 |
JIA Zhi-wei |
中国人民解放军海军总医院骨科, 北京 100048 |
Department of Orthopaedics, the Navy General Hospital of China People's Liberation Army, Beijing 100048, China |
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| 吴剑宏 |
WU Jian-hong |
中国人民解放军海军总医院骨科, 北京 100048 |
Department of Orthopaedics, the Navy General Hospital of China People's Liberation Army, Beijing 100048, China |
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| 王德利 |
WANG De-li |
中国人民解放军海军总医院骨科, 北京 100048 |
Department of Orthopaedics, the Navy General Hospital of China People's Liberation Army, Beijing 100048, China |
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| 阮狄克 |
RUAN Di-ke |
中国人民解放军海军总医院骨科, 北京 100048 |
Department of Orthopaedics, the Navy General Hospital of China People's Liberation Army, Beijing 100048, China |
ruandikengh@163.com |
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| 期刊信息：《中国骨伤》2016年29卷，第3期，第216-219页 |
| DOI：10.3969/j.issn.1003-0034.2016.03.005 |
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| 脊髓型颈椎病是临床常见的引起脊髓功能障碍的疾病。手术治疗是脊髓型颈椎病的主要治疗手段,然而患者的术后功能恢复差异较大。近年来,影响脊髓型颈椎病预后的因素受到广泛关注,患者的年龄、神经功能、病程、影像学表现、手术方式等相关因素成为脊髓型颈椎病预后研究的重点。目前认为患者年龄越大、术前神经功能状态越差、病程越长,患者预后越差。影像学对患者预后的判断有提示作用,但相关性尚不明确。选择手术方法和入路时应当以充分减压、稳定颈椎序列、保持后伸曲度、有效维持减压、防止并发症为主要原则,因此,脊髓型颈椎病的治疗应根据病情及影像学检查,早期选择合适的手术方式以获得更好的临床预后。 |
| [关键词]:脊髓型颈椎病 预后 综述文献 |
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| Factors of prognosis in cervical spondylotic myelopathy:a review |
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| Abstract:Cervical spondylotic myelopathy(CSM) is a common cause of spinal cord dysfunction clinical disease. Surgery is the main therapeutic tool for CSM. However, there are obvious differences in clinical functional recovery after operation. For the past few years, the influence factors of prognosis in cervical spondylosis myelopathic has been widely concerned. Age, nerve function, course of desease, imaging findings, surgical method and related factors became the investigative point for prognosis of cervical spondylotic myelopathy. Present viewpoint showed that the older patient, preoperative worse nerve function, longer the course of disease would result in worse outcomes. Imaging examination maybe can indicate the prognosis, but the correlation is unclear. Selection of surgical method and approach should be based on the principles of sufficient decompression, stabilize the alignment of the cervical spine, keeping backward extension of cervical spine, maintain effective decompression, preventing complications. Therefore, the treatment of cervical spondylotic myelopathy should be on the basis of pathogenic condition and imaging examination at early stage and a suitable surgical procedure should be performed to obtain a better prognosis. |
| KEYWORDS:Cervical spondylotic myelopathy Prognosis Review literature |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 唐勇,贾治伟,吴剑宏,王德利,阮狄克.脊髓型颈椎病预后相关因素的研究进展[J].中国骨伤,2016,29(3):216~219 |
| 英文格式: | TANG Yong,JIA Zhi-wei,WU Jian-hong,WANG De-li,RUAN Di-ke.Factors of prognosis in cervical spondylotic myelopathy:a review[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(3):216~219 |
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