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| 題 名 | 十年治療頸椎退化性關節病變之臨床研究(1)--頸神經根病變 |
|---|---|
| 作 者 | 熊海明; 李良雄; 黃俊一; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 19:1 1986.03[民75.03] |
| 頁 次 | 頁49-57 |
| 分類號 | 416.292 |
| 關鍵詞 | 頸椎退化性關節病變; 頸神經根病變; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 榮民總醫院神經外科於民國64年至73年,10年中共手術治療頸椎退化性關節病變(cervical spondylosis) 267例,其中單純神經根病變(radiculopathy)82例,單純脊髓病變(myelopathy)或併有神經根病變185例,本文討論單純神經根病變。 82例之手術治療,採前位手術(anterior approach)者25例,後位手術(posterior approach)者59例,(其中兩例實施各一次前位及後位手術)。 不論是前位或後位手術,其結果並無統計上之差異,大約85%的病人會有明顯之症狀改善。前位手術不論是否加以殖骨手術(bone graft)其結果亦無差異。榮民總醫院之手術結果與國外文獻之比較亦極為接近。 |
| 英文摘要 | From 1975 to 1984, 267 patients of cervical spondylosis underwent surgical treatment at the Veterans General Hospital. Of these patients, 82 had radicular symptoms and signs only. The others presented with symptoms/signs of myelopathy with or without radiculopathy. This retrospective study details the results of surgical treatment of radiculopathy. Satisfactory results were obtained in 49 (83%) of our 59 patients who underwent posterior approach, and in 20 (80%) of 25 patients with anterior approach. The results of surgery showed no statistical difference between posterior or anterior approach, the results of anterior approach with fusion were no different from that of discectomy alone. |
本系統中英文摘要資訊取自各篇刊載內容。