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[颈椎间盘突出症:51例采用克劳德手术治疗患者的临床诊断及神经外科治疗问题]

[Cervical disc herniation: problems in clinical diagnosis and neurosurgical treatment in 51 patients treated by Cloward's operation].

作者信息

Probst C, Hostettler M, Wehrli D

出版信息

Schweiz Arch Neurol Neurochir Psychiatr. 1980;127(2):213-32.

PMID:7280583
Abstract

The surgical treatment of herniated cervical discs is more frequent than it was 20 years ago, great progress having been made in diagnosis and especially in surgical techniques. In particular, the anterior access route should be mentioned here. Nowadays over 90% of patients can be freed from radicular pain by an operation. In the present review, problems of clinical symptomatology and surgical treatment have been studied in 51 patients, who all underwent surgery using the classic Cloward technique. The results of the classic Cloward technique, as far as we can judge today, are comparable with those of anterior discectomy without interbody fusion. However, the indications of the two operations are somewhat different.

摘要

颈椎间盘突出症的外科治疗比20年前更为常见,在诊断尤其是手术技术方面取得了巨大进展。在此特别应提及前路手术途径。如今,超过90%的患者可通过手术缓解神经根性疼痛。在本综述中,对51例均采用经典克洛德技术进行手术的患者的临床症状和外科治疗问题进行了研究。就我们目前所能判断的而言,经典克洛德技术的结果与不进行椎间融合的前路椎间盘切除术的结果相当。然而,这两种手术的适应证略有不同。

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引用本文的文献

1
Single level cervical disc herniation: A questionnaire based study on current surgical practices.单节段颈椎间盘突出症:一项基于问卷调查的当前手术实践研究。
Indian J Orthop. 2009 Jul;43(3):240-4. doi: 10.4103/0019-5413.53453.
2
Microsurgical anterior approach to cervical discs. Review of 60 consecutive cases of discectomy without fusion.
Acta Neurochir (Wien). 1984;73(3-4):229-42. doi: 10.1007/BF01400857.