陈丽霞，华桂茹，崔丽英，田野.分离性上肢运动障碍型颈椎病的临床特征及治疗[J].中华物理医学与康复杂志,2003,(7):.-
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| 分离性上肢运动障碍型颈椎病的临床特征及治疗 |
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| DOI： |
| 中文关键词: 分离性上肢运动障碍 颈椎病 |
| 英文关键词: Dissociated motor loss in upper extremity Cervical spondylosis Treatment |
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| 中文摘要: |
| 目的探讨分离性上肢运动障碍型颈椎病的临床特征及其治疗方案。 方法从症状、体征、影像学、肌电图、治疗方法等方面对10例具有分离性上肢运动障碍表现的颈椎病患者进行分析，其中Keegan型4例，3例行保守治疗，1例行手术治疗；非Keegan型6例，5例行保守治疗，1例行手术治疗。 结果Keegan型颈椎病以上肢肌无力、肌萎缩为临床表现，无上肢根性疼痛为主要特征；非Keegan型是一类特殊的根型与脊髓型的混合型颈椎病。对于分离性上肢运动障碍型颈椎病，手术治疗较保守治疗效果佳。 结论分离性上肢运动障碍型颈椎病应以手术治疗为首选，提高对该型颈椎病的认识，有助于减少误诊与误治。 |
| 英文摘要: |
| Objective To study the clinical features and treatment of cervical spondylosis with dissociated motor loss in upper extremity. MethodsData analysis was done in 10 patients with cervical spondylosis with dissociated motor loss in upper extremity, in aspects of symptoms, sign, radiologic feature, electromyogram and treatment. ResultsThere are 2 subtypes of cervical spondylosis with dissociated motor loss in upper extremity: Keegan and Non-Keegan types. The patients with Keegan type of cervical spondylosis manifested weakness and atrophy in the upper extremity, and no radicular pain was reported. The Non-Keegan type is in fact a combination of radicular and spinal insult in the cervical region. Our clinical practice showed that surgical operation was preferred to the conservative treatment for patients with this disease. ConclusionA well understanding of this disease is of great importance for avoiding mistakes in diagnosis and treatment of this disease. |
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