老年脊髓型颈椎病突发性截瘫的临床分析

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  目的:通过对21例老年脊髓型颈椎病突发性截瘫的患者的临床表现、体征、影像学表现进行综合临床研究。从临床角度探究发病的根源和治疗的措施。方法:研究21例患者临床资料,总结出本组患者在临床表现、体征、影像学表现方面较一般颈椎病患者的特点。结果:从症状、体征看本组患者大多处于脊髓型颈椎病的中晚期,影像学表现椎间盘退变节段同时伴有不稳或轻度滑脱。从治疗结果看手术治疗有较好恢复的可能性。结论:颈椎不稳,椎间盘多节段的退变,脊髓多节段受压,椎管狭窄,共同作用构成突发性截瘫病理生理基础。应尽早诊断和手术治疗。
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