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颈椎病132个怎么办(第2版)

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荣获国家科学技术进步奖,中国科协繁荣科普创作,资助计划资助创作,中国医学科学院健康科普研究中心推荐读本。
Content Description

何谓颈椎病、颈椎病的诊断标准是什么、导致颈椎老化的因素有哪些、如何从颈椎的骨关节韧带的结构变化分析颈椎病的发病原因、有颈椎增生(骨刺)是不是一定有颈椎病、钩椎关节(Luschka关节)在颈椎病发生中的重要意义是什么、颈椎病在x线片上的表现如何、x线片颈椎前缘有小“骨化”灶是不是“增生”、怎样看颈椎病的CT片、怎样看颈椎病的MRI片、MRI显示脊髓内高信号说明什么问题……
Author Description

叶启彬骨科专家
北京协和医院骨科教授、博士生导师、中国康复协会副理事长、 《中国矫形外科杂志》副总编。 现兼任武警总医院骨科中心主任。脊柱外科首席专家,享受国家特殊津贴。星期一、四下午在协和医院骨科门诊,星期四上午在武警总医院门诊。
1965年毕业于北京医科大学,1982~1983年于加拿大渥太华大学医院进修脊柱外科,获渥太华大学骨科研究生证书。从事骨科医、教、研40多年,具有熟练处理骨科疑难病症能力,尤其在脊柱侧弯、驼背、脊柱滑脱、椎管狭窄、脊柱骨折、脊柱肿瘤等方面富有经验。脊柱侧弯研究获1989年卫生部二等奖、国家三等奖及2005年国家科技进步二等奖:“中华通用脊柱内固定装置(PRSS)研制及临床应用”获2004年中华医学科技进步奖二等奖及2007年度亚洲太平洋骨科协会大会奖:肌肉康复治疗仪,获1997年度北京市科技三等奖。主编《脊柱外科新手术》、《颈椎病》、《脊柱侧弯外科学》等五部专著,参加编写《骨科手术学》等八部图书,发表论文80余篇。
Catalogue

1.何谓颈椎病?
2.颈椎病的诊断标准是什么?
3.导致颈椎老化的因素有哪些?
4.如何从颈椎的骨关节韧带的结构变化分析颈椎病的发病原因?
5.有颈椎增生(骨刺)是不是一定有颈椎病?
6.钩椎关节(Luschka关节)在颈椎病发生中的重要意义是什么?
7.颈椎病在x线片上的表现如何?
8.x线片颈椎前缘有小“骨化”灶是不是“增生”?
9.怎样看颈椎病的CT片?
10.怎样看颈椎病的MRI片?
11.MRI显示脊髓内高信号说明什么问题?
12.单纯用MRI图像来决定是否进行颈椎手术会产生哪些问题?
13.为什么MRI显示脊髓受压成“蜂腰状”狭窄?
14.颈椎病的肌电图检查有什么意义?
15.什么是颈椎病的经颅多普勒检查?
16.颈椎病有哪些临床表现?
17.颈椎病病人头部临床病象有哪些?
18.颈椎病病人上肢临床病象有哪些?
19.颈椎病病人下肢临床征象有哪些?
20.颈椎病病人偏侧临床病象有哪些?
21.颈椎病病人交叉临床病象有哪些?
22.颈椎病病人马尾神经病象有哪些?
23.何谓椎动脉型颈椎病?
24.MRI图像上正常与不正常的椎动脉图像表现是什么?
25.何谓脊髓型颈椎病?
26.为何要早期发现脊髓型颈椎病?
27.何谓神经根型颈椎病?
28.何谓交感神经型颈椎病?
29.何谓混合型颈椎病?
30.何谓后纵韧带骨化症?
31.颈椎后纵韧带骨化症如何治疗?
32.颈椎后纵韧带骨化症如何选择手术方法?
33.何谓颈椎管狭窄症?
34.颈椎管狭窄如何测量?
35.为什么颈椎病能导致上肢不同部位麻木或疼痛?
36.颈椎病存在时如何自我检查?
37.颈椎病是如何按病情分级的?
38.颈椎病为什么会出现许多其他脏器的症状?
39.颈肩痛是否都是颈椎病?
40.颈椎病病人为什么会出现视力障碍?
41.颈椎病病人为什么会出现吞咽困难?
42.头晕是不是得了颈椎病?
43.手麻是否一定是颈椎病?
44.腕管综合征引起中指麻木是怎么回事?
45.肱骨外上髁炎引起手无力与前臂酸胀是怎么回事?
46.肱二(三)头肌肌腱炎为什么会误作“颈椎病”?
47.为什么提肩胛肌和菱形肌腱炎会被误作颈椎病?
48.颈肋综合征是颈椎病吗?
49.运动神经元疾病与颈椎病怎样鉴别?
50.脊髓空洞症与颈椎病如何区别?
51.脊髓肿瘤与颈椎病有何区别?
52.寰枢椎半脱位与颈椎病有何区别?
53.颈部有响声是否是得了颈椎病?
54.x线片上颈椎生理曲度变直就一定是颈椎病吗?
55.梅尼埃病和颈性眩晕如何鉴别诊断?
56.颈性眩晕和其他眩晕如何鉴别诊断?
57.如何防止外伤诱发颈椎病发作?
58.何谓颈椎挥鞭样损伤?
59.颈椎病与职业有关吗?
60.颈椎病诊治的过去、现在和将来的状况如何?
61.如何治疗颈椎病?
62.如何用西药治疗颈椎病?
63.神经营养药物如何应用?
64.有化骨刺的中药吗?
65.神经根型颈椎病如何进行物理治疗?
66.椎动脉型颈椎病如何进行物理治疗?
67.交感神经型和脊髓型颈椎病的物理治疗有哪些?
68.什么是颈椎病的手法治疗(西式手法)?
69.颈椎病按摩有何利弊?
70.按摩能抠掉骨刺吗?
71.如何防止颈椎畸形误诊为颈椎病而按摩致瘫?
72.如何防止颈椎肿瘤误诊为颈椎病而按摩致瘫?
73.引起类似颈椎病症状的先天畸形有哪些?
74.气功能“化骨刺”吗?
75.支具在颈椎病中是如何应用的?
76.非手术治疗颈椎病能解决多少问题?
77.动力平衡治疗系统(KKT)为什么可改善颈椎病?
78.哪些病人必须手术治疗?
79.颈椎病的手术治疗方法有哪些?
80.何谓颈椎前路手术?
81.哪些颈椎疾患需要行前路手术治疗?
82.颈椎前路手术为什么要加cage?
83.哪些病人的颈椎病需做椎体次全切除?
84.何谓颈椎病前路减压及钢板内固定术?
85.何为颈椎病的漂浮手术法?
86.何谓颈椎后路手术?
87.前路手术好还是后路手术好,怎样选择?
88.什么是经皮穿刺颈椎间盘切除术?
89.经皮低温等离子射频消融髓核成形术治疗颈椎间盘突出症有何利弊?
90.颈椎病经皮穿刺手术后不固定是否会失稳?
91.颈椎间盘突出能做化学溶解手术吗?
92.颈椎病与腰椎管狭窄症都需要手术,应先做哪个?
93.何谓颈椎人工椎间盘手术?
94.为什么要做颈椎间盘手术?有哪些好处?
95.哪些人适合做颈椎间盘手术?
96.人工颈椎间盘手术有哪些禁忌证?
97.人工颈椎间盘手术需要什么样的条件才能做?
98.人工颈椎间盘手术有哪些危险的并发症?
99.颈椎病手术有年龄限制吗?
100.颈椎手术前应注意哪些事项?
101.颈椎病手术前应做哪些准备?
102.颈椎手术后应注意哪些事项?
103.颈椎病前路术后应怎样保持体位与护理?
104.颈椎病后路术后应怎样保持体位与护理?
……
Book Abstract

交感神经型颈椎病以头痛、听觉、内脏感觉异常、出汗障碍等为突出表现,往往与神经根型、椎动脉型或脊髓型颈椎病混合并存,其理疗法基本同神经根型、椎动脉型颈椎病的治疗。
脊髓型颈椎病以下肢沉重、麻木、行走困难为主要表现,理疗的目的在于改善局部的血液循环,减轻充血、肿胀及脊髓的受压状况。理疗法安全、平稳,忌颈椎牵引、推拿及手法治疗。短波透热及干扰电疗等为合适的保守疗法,可参照神经根型、椎动脉型颈椎病的治疗进行。
颈椎的保护性围领可以减少颈椎的活动,缓解对脊髓的刺激、压迫,改善症状。
颈椎病的预防宜从青年时期开始,注意锻炼身体,增强体质,坚持做颈椎保健操,避免睡高枕,预防颈肌劳损的发生。一旦出现颈痛等不适,应及早诊治,以免颈椎的过早退变。
颈椎病是手法治疗的适应证之一,除脊髓型外,其他类型的颈椎病皆可做手法治疗,尤其是神经根型和颈型(单纯颈痛)颈椎病,手法治疗的疗效更好。
手法治疗是对骨关节的推动、牵拉、旋转等被动活动,是以骨关节活动的功能、解剖和生物力学特点为原理,针对疾患的病理改变,采取的手法操作技术。对颈椎病的治疗作用在于:改善椎间关节的活动功能。
Introduction

“协和”是中国医学的金字招牌,也是许多中国百姓心中最高医学水平的象征。正是如此,全国各地近些年如雨后春笋般地出现许许多多的“协和医院”。但医学界知道,“协和”有北京、武汉、福建三个老牌医院;对于北方的大多数人而言,“协和”特指北京协和医院和北京协和医学院。
“北京协和”联系着黄家驷、林巧稚、张孝骞、吴英恺、邓家栋、吴阶平、方圻等一位位医学泰斗,也联系着一代代“新协和人”的劳动创造。这里有科学至上、临床求真、高峰视野、学养博深等闪光品格,也有勤学深思、刻苦务实、作风严谨、勇于创新等优秀精神。
“协和医生答疑丛书”是协和名医智慧和经验的总结,由北京协和医学院和北京协和医院众多专家参与编写,体现了这些专家对疾病的认识和对患者的关怀,更重要的是展示了他们多年甚至是一生临床诊疗的丰富经验。
“协和医生答疑丛书”因为其科学性、权威性和实用性,获得中国科普图书最高奖——国家科学技术进步奖二等奖。协和专家长期从事专业工作,写作语言并不十分通俗,也不够活泼,但这些在医学巅峰的医学专家写出了自己独特的经验和独到的见解,给读者尤其是患者提供了最科学最有效的建议。

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