中西医治疗脊髓型颈椎病的研究进展

Progress in the Treatment of Cervical Spondylotic Myelopathy with Traditional Chinese and Western Medicine

摘要: 脊髓型颈椎病(cervical spondylotic myelopathy, CSM)是以颈椎和椎间盘退变为主要病理基础，相邻部位骨与软组织增生、钙化或退变，黄韧带增厚或向前皱褶，导致脊髓受压或供血障碍，而出现肢体麻木乏力、手指精细动作困难、下肢行走不稳，甚至瘫痪、大小便障碍为主要特征的神经功能性障碍。目前，临床上对于神经压迫症状严重且非手术治疗效果差的脊髓型颈椎病患者需及时采取手术治疗，而对于神经压迫症状轻的患者多采取非手术治疗，其中中医治疗方法收效甚好。本文分析了脊髓型颈椎病的治疗现状，重点阐述了小针刀在脊髓型颈椎病治疗中的运用，旨在为脊髓型颈椎病的治疗提供参考。

Abstract: Cervical spondylotic myelopathy (CSM) is based on cervical and intervertebral disc degeneration, hyperplasia, calcification, or degeneration of adjacent bone and soft tissue, thickening or forward crease of the ligamentum flandum, resulting in spinal cord compression or impaired blood supply. There are numbness and weakness of limbs, finger fine movement difficulties, walking instability of lower limbs, and even paralysis, urinary and bowel disorders as the main characteristics of neurological dysfunction. At present, timely surgical treatment is needed for patients with cervical spondylotic myelopathy with severe nerve compression symptoms and poor non-surgical treatment effect, while non-surgical treatment is usually taken for patients with mild nerve compression symptoms, among which Chinese medicine treatment is very effective. This article analyzes the current treatment status of cervical spondylotic myelopathy, and focuses on the application of small needle-knife in the treatment of cervical spondylotic myelopathy, in order to provide reference for the treatment of cervical spondylotic myelopathy.