论文部分内容阅读
我院收治小儿颈椎间盘钙化症患者7例,男4例.女3例,平均8.9岁。临床表现为预部疼痛,活动受限.头颈歪斜和脊髓神经受压症状和体征;颈椎间盘钙化均为单发,颈(3-4)1例,颈(4-5)3例,颈(5-6)2例.颈7-胸11例。钙化灶呈球形、椭圆形、蝌蚪状、或烛泪样向后突出压迫脊髓。3例曾被误诊。1例因外院手术失误而遗留鹅颈畸形,其余6例以颈托固定等保守疗法均痊愈。随访6~18月无复发。讨论:小儿椎间盘钙化症发病率低、病因不得,多见于5-10岁的小儿,无性别差异.多在颈椎,钙化可消失;分为消退型、潜伏型、静止型。除少数因脊髓受压需手术外.大多数可用非手术治疗而痊愈。
Pediatric patients with cervical disc calcification in our hospital in 7 cases, 4 males. 3 females, an average of 8.9 years old. Clinical manifestations of pre-pain, limited mobility. Head and neck skew and spinal nerve compression symptoms and signs; cervical disc calcification were single, neck (3-4) in 1 case, neck (4-5) in 3 cases, neck (5-6) in 2 cases. Neck 7-thorax 11 cases. Calcification was spherical, oval, tadpole-like, or candle-like prominent oppression of the spinal cord. Three cases were misdiagnosed. One case left gooseneck deformity due to surgical mistakes in the hospital, and the remaining 6 cases were cured by conservative treatment such as cervical support. Follow-up 6 to 18 months without recurrence. Discussion: The incidence of pediatric disc calcification is low, the cause is not, more common in children aged 5-10 years, no gender differences. More in the cervical spine, calcification can disappear; divided into dissipated, latent, resting type. Except for a few due to spinal cord compression surgery. Most can be cured with non-surgical treatment.