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手法是治疗颈椎病有效的保守方法之一。但由于对颈椎病及其相关的颈部某些疾病的诊断不足,忽视了颈椎动力位X线摄片检查,易造成误诊和手法误治。本文通过12例手法误治病例分析,结合发育性颈椎管狭窄、颈椎后纵韧带骨化及颈椎失稳与脊髓型颈椎病的发病关系,说明颈椎动力位X线检查在诊断颈椎病和指导手法治疗颈椎病的作用,指出并分析了手法按摩的禁忌症。
Manipulation is one of the effective conservative methods for the treatment of cervical spondylosis. However, due to lack of diagnosis of cervical spondylosis and some related cervical diseases, neglect of cervical dynamic X-ray examination, easily lead to misdiagnosis and manipulation mistaken. In this paper, by 12 cases of misdiagnosis of cases, combined with the development of cervical stenosis, cervical posterior longitudinal ligament ossification and cervical instability and the relationship between cervical spondylotic myelopathy, cervical dynamic X-ray examination in the diagnosis of cervical spondylosis and guidance practices Therapeutic effect of cervical spondylosis, pointed out and analyzed the contraindications of manual massage.