摘要
本文对钩椎关节病形成的解剖特点、临床分型与症状、诊断和鉴别诊断以及治疗方法进行了讨论.根据临床表现,本病可分为椎动脉型、脊神经根型和椎动脉-神经根型三种类型。本病的治疗以非手术疗法为主,无效者施行颈前路椎间孔扩大减压术,可取得良好效果。
Uncoarthrosis is caused by hyperosteogency or relaxation of the uncovertebral joints.There is compression upon the vertebral vessels and/or nerve roots,producing varied symptoms.Our surgically treated 22 patients were classified into 3 types according to the clinical findings:(1)the vertebral artery type,giving rise to cervicocephalic syndrome,9 cases;(2)the nerve root type,producing cervicobrachial syndrome,7 cases;and(3)the vertebral artery-nerve root type,producing cervico-cephalo-brachial syndrome,6 cases.Treatment should be primarily conservative.When conservative treatment was unsuccessful,the authors shifted to uncoforameneetomy through anterolateral approach.The 22 cases operated on were free from any complication and the results were excellent or good in all.
出处
《上海医学》
CAS
1981年第4期30-34,61,共6页
Shanghai Medical Journal
