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投稿时间：2023-06-23 网络发布日期：2024-05-20
投稿时间：2023-06-23 网络发布日期：2024-05-20
中文摘要: 脊髓型颈椎病（CSM）是颈椎病中最严重的一个亚型，是造成中老年人群脊髓功能障碍的主要原因。本病发病机制复杂，主要包括退变老化、动态失稳、脊髓缺血、脊髓损伤、炎症、细胞凋亡等可能的机制。治疗方案主要包括保守治疗和手术治疗，保守治疗包括药物、针刺、艾灸、牵引、物理治疗和手法治疗等方式，手术治疗根据手术入路可分为前路手术、后路手术、前后联合手术。治疗方案的选择应结合患者症状、体征以及辅助检查的结果等多方面综合考量，但如何选择适宜的治疗方案仍是临床医生关注的焦点。本文着重探讨该病的发病机制及治疗方法的相关研究进展，为CSM的诊断、治疗提供参考。
中文关键词: 脊髓型颈椎病 椎管狭窄 颈椎前路椎间盘切除融合术 颈椎后路手术
Abstract:Cervical spondylotic myelopathy (CSM) is the most serious subtype of cervical spondylosis, which is the main cause of spinal cord dysfunction in middle-aged and elderly people, and the pathogenesis of this CSM is complex, mainly including degenerative aging, dynamic instability, spinal cord ischemia, spinal cord injury, inflammation, apoptosis, and other possible mechanisms. The clinical treatment of the CSM mainly includes conservative treatment and surgical treatment, conservative treatment includes drugs, acupuncture, moxibustion, traction, physical therapy and manual treatment, surgical treatment can be divided into anterior surgery, posterior surgery, anterior and posterior combined surgery according to the surgical approach. The choice of treatment regimen should be based on the patient's symptoms, signs, and the results of auxiliary examinations, but how to choose the appropriate treatment plan is still the focus of clinicians. This article focuses on the research progress of the pathogenesis and treatment methods of this disease, in order to provide a reference for the diagnosis and treatment of cervical myelopathy.
keywords: Cervical spondylotic myelopathy Spinal canal stenosis Anterior cervical discectomy and fusion Posterior cervical surgery
文章编号： 中图分类号：R681.5 文献标志码：A
基金项目:山东省中医药科技项目（Z-2022023）；潍坊市科技发展计划项目（2022YX015）；潍坊市卫健委科研项目（WFWSJK-2021-062）；潍坊市卫生健康委员会中医药科研项目计划（2021-4-129）
引用文本：
刘立俊,高山,马广斌,等.脊髓型颈椎病发病机制及治疗措施的研究进展[J].中国临床研究,2024,37(5):661-665.
刘立俊,高山,马广斌,等.脊髓型颈椎病发病机制及治疗措施的研究进展[J].中国临床研究,2024,37(5):661-665.