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天津医科大学学报JOURNAL OF TIANJIN MEDICAL UNIVERSITY
2001 Vol.7 No.1 P.95-96,99
颈前路术后颈肩痛分析
杜文君 孙娟 田融
夏英鹏 田成瑞 江毅
摘 要：目的：观察了颈前路植骨融合术后颈肩痛患者的临床表现，对其原因进行了分析。方法：对28例因颈间盘突出症及颈椎病患者行“颈前路间盘和/或椎体次全切除取髂骨植骨融合术"后颈肩痛患者临床表现进行了分析，并行X-ray、CT及MRI等影像学检查，对其进行总结。结果：本组病例经证实有植骨块移位、植骨块假关节形成、伴发肩周炎及单纯颈托外固定过紧所致。骨块移位及假关节形成者二次手术复位或切除假关节，追加植骨，钢板内固定，肩周炎及卡压所致者对症治疗，效果均十分满意。结论：颈前路间盘和/或椎体次全切除取髂骨植骨融合术时应注意骨块大小、外固定松紧程度及合并症的早期诊断，为预防颈前路术后颈肩痛的关键。
关键词：颈肩痛；颈前路；术后
文章编号：1006-8147(2001)01-0095-03
Analysis of cervix and
shoulder pain after anterior cervical operation
DU Wen-Jun（The Red Cross Hospital of Tianjin, 300130）
SUN Juan（The Red Cross Hospital of Tianjin, 300130）
TIAN Rong（The Red Cross Hospital of Tianjin, 300130）
XIA Ying-Peng（The Red Cross Hospital of Tianjin, 300130）
TIAN Cheng-Rui（The Red Cross Hospital of Tianjin, 300130）
JIANG Yi（The Red Cross Hospital of Tianjin, 300130）
Abstract：Objective:The clinic of
cervix and shoulder pain after anterior cervical operation has been observed, whose causes
have been analysised. Methods: 28 patients with cervix and shoulder pain were analyzed who
had been operated on anterior operation of cervical intervertibral disc resection and/ or
vertebral body subtotal ectomy and implantation with iliac bone and analyzed their
x-ray,CT,and MRI .Results:These patients' pain was caused by implanted bone shift,
pseudarthrosis formation, supervention of scapulohumeral periarthritis and tenseness of
extra-plastic-collar .The implanted bone shift and pseudarthrosis were operated again with
reposition and excision, and implanted more bone, interior fixation with steel-board,
expectant treatment with scapulthumeral periarthritis and tenseness of
extra-plastic-collar were all satisfied .Conclusion: The anterior operation of cervical
intervertibral disc resection and/or vertebral body subtotal ectomy and implantation with
iliac bone are often applied to the patients with proplase of cervical intervertebral disc
and cervical spondylopathy. Meanwhile, must pay attention to size of the implanted bone,
the tenseness of extra-support and early diagnosis of complication. On the second time
operation, it is the key to prevent cervix and shoulder pain after anterior cervical
operation.
Keywords：Cervix and shoulder pain; Anterior cervical operation;Postoperation
作者简介：杜文君(1972-)，男，医师，学士学位，研究方向：临床骨科：孙娟(1974-)，女，医师，学士学位，研究方向：放射科。
作者单位：杜文君（天津市红十字会医院，300130）
孙娟（天津市红十字会医院，300130）
田融（天津市红十字会医院，300130）
夏英鹏（天津市红十字会医院，300130）
田成瑞（天津市红十字会医院，300130）
江毅（天津市红十字会医院，300130）
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