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对６２例脊髓型颈椎病患者进行的临床观察发现：１．四肢沉重、乏力、步态不稳并不一定就是患者的最初主诉，当眩晕为最初主诉时，要注意体征的检查。２．霍夫曼改良测试试验阳性或弱阳性与下肢肌张力的增高是脊髓型颈椎病早期的重要征象。３．Ｘ线平片虽为最基本的检查方法，但无椎管狭窄时并不意味着致压物就不存在。４．ＣＴ检查在脊髓型颈椎病的诊断中作用虽大，但ＣＴ片为阴性结果时并不能完全排除脊髓型颈椎病的存在。ＣＴ片上显示为硬脊膜受压、变形，病变并非只局限如此。５．ＭＲＩ检查在显示颈椎间盘突出方面优于ＣＴ检查。６．ＳＥＰ在脊髓型颈椎病中的应用可能提高诊断的精确性。为此，作者提出了一种新的早期诊断标准，即：１．临床所见与Ｘ线片所见符合颈椎病。２．霍夫曼改良测试试验阳性或弱阳性，伴有或不伴有下肢肌张力的增高。３．ＣＴ片或ＭＲＩ显示硬脊膜、脊髓受压、变形。４．除外肌萎缩型侧索硬化症、脊髓肿瘤、脊髓损伤，多发性末梢神经炎等症。该标准与过去以症状、体征及Ｘ线片诊断脊髓型颈椎病相比，不仅检出率高，症状轻时亦能早期作出明确诊断。
The clinical observation of 62 patients with cervical spondylotic myelopathy found that: 1. Severe limbs, weakness, unstable gait is not necessarily the patient’s first complaint, when dizziness is the first complaint, pay attention to the examination of signs. 2. Hoffmann improved test positive or weak test positive and lower limb muscle tension is an important sign of early cervical myelopathy. 3. X-ray film is the most basic method of examination, but no spinal stenosis does not mean that the pressure does not exist. 4. CT examination in the diagnosis of cervical spondylotic myelopathy, although the role of large, but negative CT results do not completely rule out the existence of cervical spondylotic myelopathy. CT films showed dura mater pressure, deformation, disease is not limited to this. 5. MRI is superior to CT in displaying cervical disc herniation. 6. The use of SEP in cervical spondylotic myelopathy may improve the diagnostic accuracy. To this end, the authors propose a new early diagnostic criteria, namely: 1. Clinical findings and X-ray findings consistent with cervical spondylosis. 2. Huffman improved test positive or weak positive test, with or without lower extremity muscle tone increased. 3. CT film or MRI showed the dura, spinal cord compression, deformation. 4. Excluding amyotrophic lateral sclerosis, spinal cord tumors, spinal cord injury, multiple peripheral neuritis embolism. The standard with the past symptoms, signs and X-ray diagnosis of cervical spondylotic myelopathy, not only the detection rate is high, light symptoms can also make a clear early diagnosis.