文章摘要

脊髓型颈椎病的微创治疗的研究进展

作者: 1张 稳, 1陈 刚, 1夏 红
1 湘潭市中心医院脊柱外科,湖南 湘潭 411100
通讯: 夏 红 Email: xh0111@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.01.028

摘要

脊髓型颈椎病(cervical spondylotic myelopathy,CSM)的治疗一直是一个棘手的问题,不治疗或治疗不当均会导致患者出现严重并发症,如痉挛性瘫痪及排尿、排便功能障碍等。鉴于CSM的病理改变,保守治疗难以解除脊髓压迫,如果没有手术禁忌,就应当认作是手术适应证。随着科学技术的进步及手术精准性的提高,微创手术治疗CSM也取得了良好的预后。
关键词: 脊髓型颈椎病;微创治疗;手术

Research progress in minimally invasive treatment of cervical spondylotic myelopathy

Authors: 1ZHANG Wen, 1CHEN Gang, 1XIA Hong
1 Department of Spinal Surgery, Xiangtan Central Hospital, Xiangtan Hunan 411100, China

CorrespondingAuthor:XIA Hong Email: xh0111@qq.com

Abstract

The treatment of cervical spondylotic myelopathy (CSM) has always been a difficult task, for that the serious complications such as spastic paralysis, urination disorders and defecation disorders will occur because of no treatments or inappropriate treatments. Given the pathological changes of CSM, conservative treatment is difficult to relieve spinal cord compression. If there is no surgical contraindication, it should be regarded as the surgical indication. With the development of science and technology and the improvement of surgical accuracy, treating CSM by minimally invasive surgery can also achieve good prognosis.
Keywords: cervical spondylotic myelopathy; minimally invasive treatment; surgery