颈性眩晕的病理机制、诊断和治疗
作者: |
1曾建勇,
1范洪武,
1张云涛,
2王淼
1 重庆市丰都县人民医院,重庆 408200 2 重庆医科大学附属第一医院 重庆 400016 |
通讯: |
曾建勇
Email: 793272543@qq.com 范洪武 Email: 1595906016@qq.com 张云涛 Email: 754143861@qq.com |
DOI: | 10.3978/j.issn.2095-6959.2015.08.027 |
摘要
国际疾病分类中,将颈椎病(cervical spondylosis)分为神经根型与脊髓型,然而,在脊柱外科临床实践中,常常遇到已明确诊断为颈椎病,但以眩晕为主的一项或多项交感神经症状为主诉的患者,由于交感神经症状复杂多样,缺乏公认的诊断与鉴别标准,此类疾病成为骨科医师和患者的难题。国内外的研究中,这类疾病通常被称作“颈源性眩晕”。自此名称提出至今,对于该疾病的认识一直存在巨大争议。在本文中,统一用“颈性眩晕”命名,并从发病机制、诊断、治疗等方面对该疾病作一综述。
关键词:
交感型颈椎病
颈源性眩晕
病理机制
诊断治疗
研究进展
The pathogenesis of cervical vertigo, diagnosis and treatment
CorrespondingAuthor: ZENG Jianyong Email: 793272543@qq.com
DOI: 10.3978/j.issn.2095-6959.2015.08.027
Abstract
In the international classification of diseases, the type of cervical disease is divided into nerve root cervical spondylosis or cervical myelopathy. In the clinical work, however, on the basis of clear diagnosis of cervical spondylosis, spine surgeons often encounter such a group of patients whose chief complaint is vertigo with or without more of the sympathetic symptoms. Due to the complexity of the sympathetic nerve symptoms and the lack of generally accepted standard of diagnosis and differential, such diseases have become a problem in orthopedic doctors and patients. In domestic and foreign research, the diseases are commonly referred to as “cervical vertigo”, since the name proposed so far, there has been a huge controversy on “cervical vertigo”. In this article we unified named after “cervical vertigo” of these diseases and made a review from the aspects of pathogenesis, diagnosis, treatment, etc.