颈椎管狭窄症治疗机理探讨

THE TREATMENT OF CERVICAL VERTEBRAL CANAL STENOSIS AND ITS POSSIBLE MECHANISMS

摘要:

本组43例颈椎管狭窄症采用颈椎减压手术治疗和非手术治疗，非手术治疗效果优良率为61．1％，与手术疗效相近，作者介绍了定点伸引手法对本病的治疗作用，在临床治疗机理方面讨论了颈椎管狭窄症的临床病理、颈椎稳定性和两种治疗的作用机制。提出颈椎“椎管内软组织力学适应机制”的概念，确立颈背肩脚部软组织损害与颈椎节段性不稳之间的联系及在本病症发病过程中的重要作用。作者认为，临床上应依据不同病情选用非手术或手术疗法，而非手术治疗应值得推荐。

Abstract:

Cervical vertebral canal decompresion operation and conservative therapy was performed in 43 cases with cervical vertebral canal stenosis (CVCS). The results showed thatthe excellent and good rate of the nonsurgical therapy reached 61.1 %. The 'point-locatingStretch" chiropractic was introduced and the effectiveness on CVCS was stated. The principles of both treatments, including the mechanism, were based on the clinical pathology andthe cervical vertebrae stability. The concept of "mechanical adaptation inside vertebral canalsoft tissue" was put forward, while the relationship between the soft tissue lesion and cervical vertebra segmental instability was asserted. In conclusion, the conservative therapy isworthy of promoting where appropriate.