《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (02): 158-159.

• 临床研究 • 上一篇    下一篇

颈肌劳损综合征误诊颈椎病原因分析

朱才兴; 焦伟国; 成忠实; 刘立明   

  1. 解放军总医院康复体疗科 北京市 100853
  • 收稿日期:2005-07-15 出版日期:2006-02-25 发布日期:2006-02-25

Analysis of Misdiagnosis between Cervical Muscle Strain and Cervical Spondylopathy

ZHU Cai-xing, JIAO Wei-guo, CHENG Zhong-shi, et al   

  1. The Department of Rehabilitation and Exercise Therapy, General Hospital of PLA, Beijing 100853, China
  • Received:2005-07-15 Published:2006-02-25 Online:2006-02-25

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摘要： 目的分析颈肌劳损综合征误诊颈椎病的原因,明确诊断要点,探讨最佳治疗方法。方法将32例颈肌劳损综合征患者的颈部X线正位、侧位(含过屈过伸位)、双斜位片,以及CT和MRI片的颈椎退变程度、曲率、椎体间隙、椎体关节、椎间盘、椎间孔、横突孔等的变化和出现的症状、体征相对应,辨证症状、体征的属性。结果32例颈肌劳损综合征患者除应有的体征、症状外,颈椎X线片提示有骨质退变26例、颈椎序列改变17例;CT和MRI片提示有颈椎间盘膨出29例、椎间孔改变17例。用手法治疗5～10次,痊愈22例、显效8例、有效2例。结论颈肌劳损综合征虽然与颈椎病有多种相同症状、体征,但属性不同,治疗方法亦不同,手法治疗效果满意且疗效稳定。

关键词: 颈肌劳损, 颈椎病, 误诊

Abstract: ObjectiveTo analyze the reason of cervical muscle strain misdiagnosed as cervical spondylopathy, and confirm the diagnosis and the best treatment.MethodsThe data of cervical X ray (direct, lateral and double oblique), CT and MRI (degeneration degree and lordosis of cervical spine, the changes of vertebral interspace, vertebral joint, intervertebral disc, intervertebral foramen, and transverse foramen) of 32 patients with cervical muscle strain were analyzed corresponding with clinical symptoms and signs. The attribute of the symptoms and signs were distinguished.ResultsIn all patients, besides the common symptoms and signs, there were 26 patients having degeneration and 17 alignment of the cervical spine from X ray, and 29 cases having cervical disc herniation from CT or MRI. After 5～10 times manipulation curing, 22 patients were cured, 8 patients were obviously improved and 2 patients were better than before.ConclusionCervical muscle strain and cervical spondylopathy have some similar symptoms and signs. But their attribute and therapeutics are very different. Manipulation is an effective and stable therapeutic method for cervical muscle strain.

Key words: cervical muscle strain, cervical spondylopathy, misdiagnosis