Mo Wen, Yuan Wen
Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China.
The Second Affiliated Hospital of the Naval Military Medical University, Beijing 100023, China.
Zhongguo Gu Shang. 2022 Aug 25;35(8):790-8. doi: 10.12200/j.issn.1003-0034.2022.08.017.
Cervical spondylotic myelopathy (CSM) is the most serious subtype, which is characterized by severe clinical symptoms, a high disability rate, and poor prognosis. Traditional Chinese medicine and Western medicine have their own advantages in the diagnosis and treatment of CSM at different stages. In order to further standardize the clinical diagnosis and treatment of CSM and improve the clinical efficacy, based on previous experience and evidence-based medicine, after repeated discussions by the national expert group, the expert consensus on the diagnosis and treatment of integrated traditional Chinese and Western medicine was compiled. This consensus comprehensively introduces the definition, etiology, pathogenesis, diagnosis treatment principles, integrated traditional Chinese and Western medicine treatment, postoperative rehabilitation and nursing care of cervical spondylotic myelopathy, so as to provide reference for clinicians.
脊髓型颈椎病(CSM)是最严重的亚型,其特点是临床症状严重、致残率高且预后不佳。中医和西医在脊髓型颈椎病不同阶段的诊断和治疗中各有优势。为进一步规范脊髓型颈椎病的临床诊疗,提高临床疗效,基于既往经验和循证医学,经全国专家组反复讨论,编写了中西医结合诊断与治疗专家共识。本共识全面介绍了脊髓型颈椎病的定义、病因、发病机制、诊断治疗原则、中西医结合治疗、术后康复及护理,为临床医生提供参考。