神经根型颈椎病的诊断与鉴别诊断

戴力扬(第二军医大学附属长征医院骨科,上海200003):,SpurlingJackson,:;;;;:R68155:A:1005-7234(1999)04-0308-03:19981123:(1957-),,,,:,,,,Luschka,,12,,11140~50,,,3,4,54~5,567,,,,,,,:(1)Spurling:,,Spurling(2)Jackson:,,Jackson(3):,,,HendersonHennessy6846,37%28%19%06%,68%,,,,30~40,,,,,,,1213131XLuschka,,Luschka,4~5,7:(1)35mm(1);(2)11!(2)2,1132,,,,∀308∀1999204TheJournalofCervicodyniaandLumbodynia1999,Vo1.20No.425~620!,4~5-2!,6~7-4!,5~611!133,,Luschka134CT,CT,CT8135MRI,,T2,T1,MRI,9LuschkaT115,,15133,3,2~310,,1524,,,1535,,,,1546,7(),#∃1557,,,,1568,,,221,,,,,11,,MRI222,3,,23,24,,,251,,,,,MorleyAdsonWrightEdenRoos,X,26,,27,,MRI28,29Steibrocker,,,,∀309∀1999204TheJournalofCervicodyniaandLumbodynia1999,Vo1.20No.4210,,12[1]..[M].1997,1(2)%88~90.[2]DaiLY.Discdegenerationandcervicalinstability:correlationofmagneticresonanceimagingwithradiography[J].Spine,1998,23(16)%1734~1738.[3]SnyderGM,BernhardtM.Anteriorcervicalfractionalinterspacedecompressionfortreatmentofcervicalradiculopathy:areviewofthefirst66cases[J].ClinOrthop1989,246%92~99.[4]AldrichF.Posterolateralmicrodiscectomyforcervicalmonoradiculopathycausedbyposterolateralsoftdiscsequestration[J].JNeurosurg1990,72(3)%370~377.[5]IwasakiM,OkadaK,TsumakiN,etal.Cervicalspondyloticradiculopathyinvolvingtwoadjacentnerveroots:anteriordecompressionthroughasinglelevelintervertebralapproach[J].IntOrthop1996,20(2)%137~141.[6]HendersonC,HennessyR.Posterolateralforaminotomyasanexclusiveoperativetechniqueforcervicalradiculopathy:areviewof846consecutivelyoperatedcases[J].Neurosurgery1983,13(5)%504~512.[7]WhiteAA&,JohnsonRM,PanjabiMM.Biomechanicalanalysisofclinicalstabilityinthecervicalspine[J].ClinOrthop1975,109%85~96.[8]ModicMT,RossJS,MasarykTJ.Imagingofdegenerativediseaseofthecervicalspine[J].ClinOrthop1989,239%109~120.[9]WilsonDW,PezzutiRT,PlaceJN.Magneticresonanceimaginginthepreoperativeevaluationofcervicalradiculopathy[J].Neurosurgery,1991,28(2)%175~179.[10]PolettiCE,Thirdcervicalnerverootandganglioncompression:clinicalsyndrome,surgicalanatomy,andpathologicalfindings[J].Neurosurgery1996,39(5)%941~949.[11],,,.!∀#∃[J].1975,10(11)%990~998.[12]BabaH,MaezawaY,UchidaK,etal.Cervicalmyeloradiculopathywithentrapmentneurpathy:astudybasedonthedoublecrushconcept[J].SpinalCord1998,36(6)%399404.∀∀丁明,宁吉顺(解放军第89医院麻醉科,山东潍坊261021):R61442:B:1005-7234(1999)04-0310-01()()()(%)(%)()∋57392480207(3*)3241476083924(2*:19981010:(1966-),,,:,2~92%1120,::ASA∋~)120,50;38;32,90,30,44(163582,60,∋;):65~75mg,VitB12200g,VitB6100g,,2%10~15ml,20~40ml:∋,,5mls,3~4,2~3,,15~30,,1,):,,;:,,;:,;:,45:∋,80%,)608%,20%,392%,,,,,∋,#∃,2,,,,,,,,,,,,,,,[1].[M].,1,11,75.[2].146[J].,1944,(2)%2.∀310∀1999204TheJournalofCervicodyniaandLumbodynia1999,Vo1.20No.4