盘内注射胶原酶治疗脊髓型颈椎病
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作者Author单位AddressE-Mail
燕春山 YAN Chun-shan 解放军第404医院风湿科,山东威海264200 Department of Rhoumatism,The 404th Hospital of PLA,Shandong Weihai,264200,China  
王兵 WANG Bing 解放军第404医院风湿科,山东威海264200 Department of Rhoumatism,The 404th Hospital of PLA,Shandong Weihai,264200,China  
冯芳军 FENG Fang-jun 解放军第404医院风湿科,山东威海264200 Department of Rhoumatism,The 404th Hospital of PLA,Shandong Weihai,264200,China  
潘飞 PAN Fei 解放军第404医院风湿科,山东威海264200 Department of Rhoumatism,The 404th Hospital of PLA,Shandong Weihai,264200,China  
期刊信息:《中国骨伤》2005年,第18卷,第7期,第402-404页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:评价椎间盘内注射胶原酶治疗椎间盘突出引起脊髓型颈椎病的疗效及安全性。

方法:35例(男19例,女16例)经CT、MRI证实由椎间盘突出引起的脊髓型颈椎病患者,病史3个月~4年,椎间盘突出0.20~0.40cm,平均0.24cm,采用盘内注射胶原酶的方法并结合颈椎牵引治疗。32例得到随访,随访3~38个月。分别按病史、年龄分组。

结果:采用日本骨科学会(JOA)颈椎病评定标准进行手术前后随访评分,本组优12例,良7例,好转6例,无效7例。

结论:颈椎间盘内注射胶原酶治疗由间盘突出引起的脊髓型颈椎病手术简单、效果明显、安全。
【关键词】脊髓型颈椎病  胶原酶  牵引术
 
Collagenase injected into disk for the treatment of cervical spondylotic myelopathy
ABSTRACT  

Objective:To evaluate the effect and safety for the treatment of cervical spondylotic myelopathy with injecting collagenase into intervertebral disk herniation.

Methods:Thirty-five patients (male,19 cases;female,16 cases) of cervical spondylotic myelopathy caused by intervertebral disk herniation (through CT,MRI final diagnosis),their history were form 3 months to 4 years,size of protrusion were 0.200.40 cm with an average 0.24 cm.All the patients were treated with injecting collagenase into disk and traction of cervical vertebra,of them,32 cases were followed up form 3 months to 3 years.The patients were divided into groups according to history and age.Effective rates were compared among the groups.

Results:According to standard of JOA' evaluation:12 cases were excellent,7 cases good,6 improved and 7 ineffective.

Conclusion:Injecting collagenase for the treatment of cervical spondylotic myelopathy caused by intervertebral disk herniation has the advantages of simple operation,obvious effect and high reliability.
KEY WORDS  Cervical spondylotic myelopathy  Collagenase  Traction
 
引用本文,请按以下格式著录参考文献:
中文格式:燕春山,王兵,冯芳军,潘飞.盘内注射胶原酶治疗脊髓型颈椎病[J].中国骨伤,2005,18(7):402~404
英文格式:YAN Chun-shan,WANG Bing,FENG Fang-jun,PAN Fei.Collagenase injected into disk for the treatment of cervical spondylotic myelopathy[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(7):402~404
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