Yap K B, Lieu P K, Chia H P, Menon E B, Tan E S
Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore.
Singapore Med J. 1993 Jun;34(3):237-40.
A retrospective study was conducted on 21 patients with cervical spondylotic myelopathy to study the clinical characteristics of these patients and the influence of surgery and rehabilitation on their outcome. All the patients were 50 years and above, with a mean age of 63.6 years. The most common presenting feature was weakness of all the limbs. Neckache was not a prominent finding. Although only 2 patients complained of bladder disturbance, 6 other patients were found to have bladder dysfunction after urodynamic assessment. Clinical outcome after surgery was 50% improved, 28% unchanged and 22% worsened. Fifty percent of the patients with voiding problems recovered after bladder training. Rehabilitation was significant in assisting in the recovery of patients after surgery. One patient had a disabling stroke 4 days after cervical surgery while another died of urinary tract infection while undergoing rehabilitation.
对21例脊髓型颈椎病患者进行了一项回顾性研究，以探讨这些患者的临床特征以及手术和康复对其预后的影响。所有患者年龄均在50岁及以上，平均年龄为63.6岁。最常见的表现是四肢无力。颈部疼痛不是突出表现。虽然只有2例患者主诉膀胱功能障碍，但经尿动力学评估发现另外6例患者存在膀胱功能障碍。手术后临床预后改善的患者占50%，无变化的占28%，恶化的占22%。50%有排尿问题的患者经膀胱训练后恢复。康复对术后患者的恢复有显著帮助。1例患者在颈椎手术后4天发生致残性中风，另1例患者在康复过程中死于尿路感染。
