代成甫，段贤斌，杨大志，钱立.椎动脉型颈椎病影像改变对康复治疗的指导意义[J].中华物理医学与康复杂志,2004,(7):
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| 椎动脉型颈椎病影像改变对康复治疗的指导意义 |
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| DOI： |
| 中文关键词: 颈椎病 椎动脉 X片 康复治疗 |
| 英文关键词: Cervical spondylosis Vertebral artery type X-ray image Rehabilitation treatment |
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| 中文摘要: |
| 目的研究椎动脉型颈椎病的X线表现特征，以及对康复治疗的指导意义。 方法对42例椎动脉型颈椎病患者的X线片进行测量分析，分别采用颈部制动、牵引、高位硬膜外封闭及手术疗法，同时配合扩管治疗，观察不同治疗方法对各种临床症状的治疗效果。 结果椎动脉型颈椎病患者X线片显示颈椎生理曲度变直、颈椎不稳、钩椎关节增生。颈部制动可有效改善头晕、恶心、视物模糊等症状，适用于X线示颈椎生理曲度改变不明显，无成角或位移病例；牵引治疗对头痛、颈肩痛、四肢乏力等症状改变明显，适用于X线示颈椎生理曲度改变明显，有成角或位移病例；高位硬膜外封闭近期效果好，适用于对上述治疗疗效不佳或椎体移位、成角较严重的急性发作期患者，尤其对胸闷、耳鸣、多汗、睡眠差有显著效果。 结论颈椎X线片改变在椎动脉型颈椎病的诊断及治疗中具有重要参考意义。 |
| 英文摘要: |
| Objective To characterize the x-ray image of vertebral artery type of cervical spondylosis and explore its significance in rehabilitation treatment. MethodsThe X-ray films of 42 cases of vertebral artery type of cervical spondylosis were measured and analyzed. The treatment approaches including restriction of cervical movement, traction, epidural block and surgery were planned and implemented accordingly. ResultsThe X-ray image revealed the following changes in the patients: the straightened physiologic curvature of the cervical spine, cervical vertebral unsteadiness, zygapophyzeal joint hyperplasia. Various treatment approaches are effective to patients with various manifestations. ConclusionEmploying treatment approaches on the basis of X-ray images is of great signi-ficance for the effective treatment of patients with cervical spondylosis of vertebral artery type. |
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