[1]蔡礼乐,刘亚珀,胡巍,等.颈椎病伴发眩晕68例手术疗效分析[J].中国中医骨伤科杂志,2025,33(03):81-85.[doi:1005-0205(2025)03-0081-05]
　CAI Lile,LIU Yapo,HU Wei,et al.Surgical Effect on 68 Patients with Cervical Vertigo Complicated with Cervical Spondylosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(03):81-85.[doi:1005-0205(2025)03-0081-05]
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颈椎病伴发眩晕68例手术疗效分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年03期
页码:
81-85
栏目:
临床报道
出版日期:
2025-03-15

文章信息/Info

Title:
Surgical Effect on 68 Patients with Cervical Vertigo Complicated with Cervical Spondylosis
文章编号:
10.20085/j.cnki.issn1005-0205.250315
作者:
蔡礼乐1;  刘亚珀1;  胡巍1;  梁凡1;  马永刚1△
1武汉大学人民医院(武汉,430060)
Author(s):
CAI Lile1;  LIU Yapo1;  HU Wei1;  LIANG Fan1;  MA Yonggang1△
1Renmin Hospital of Wuhan University,Wuhan 430060,China.
关键词:
颈椎病;  颈性眩晕;  颈椎失稳;  颈椎前路手术
Keywords:
cervical spondylosis;  cervical vertigo;  cervical instability;  anterior cervical surgery
分类号:
R681.5
DOI:
1005-0205(2025)03-0081-05
文献标志码:
B
摘要:
目的:分析颈椎前路手术对颈椎病患者伴发眩晕症状的治疗效果,初步探讨颈椎失稳与颈性眩晕之间的关系。方法:本团队2018年1月至2023年6月为68例伴发眩晕的颈椎病患者实施手术治疗,术后随访1年。回顾分析其临床资料,分析颈性眩晕与颈椎失稳的关系并评估手术对眩晕改善的影响。结果:全部68例患者中有49例存在颈椎不稳,多发生在中上颈椎,发生率为72.0%; 末次随访时眩晕改善优良率为72.1%,提示手术对眩晕有改善作用,其中前路手术对眩晕的改善效果明显优于后路手术,差异有统计学意义(78.3%比59.1%,P<0.01)。结论:颈椎失稳可能是诱发颈性眩晕的重要因素,颈椎前入路融合手术可以增加颈椎稳定性,明显改善颈椎病患者的眩晕症状。
Abstract:
Objective:To assess the efficacy of anterior cervical surgery on vertigo in patients withcervical spondylosis.Methods:The clinical data of 68 patients with vertigo undergoing cervical spondylosis surgery from January 2018 to June 2023 in our group were reviewed retrospectively.All patients included had been followed for at least one year.The role that cervical instability plays in cervical vertigo and the efficacy of cervical surgery on vertigo alleviation was studied.Results:Cervical instability was found radiologically in 49 of all 68 patients pre-surgery,with an incidence of 72.0%,suggesting that segmental instability may be involved in the occurrence of vertigo.At the last follow-up,the excellent and good rate of vertigo improvement was 72.1%,suggesting that surgery could improve vertigo.Interestingly,the improvement effect of anterior approach was better than posterior approach(78.3% vs 59.1%,P<0.01).Conclusion:Cervical instability contributes to the pathogenesis of cervical spondylosis accompanied by vertigo.Measures can be taken to increase cervical stability and anterior cervical surgery can be adopted when necessary.

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备注/Memo

备注/Memo:
△通信作者 E-mail:martin1354@163.com
更新日期/Last Update: 2025-03-10