论文部分内容阅读
1病例介绍患者男,50岁。因“双手麻木1年半,走路不稳1个月”于2013年12月24日收入我科。入院后体格检查及血常规、尿常规、乙型肝炎“两对半”、肝肾功能、胸部X线片及心电图检查均无异常。颈椎X线片侧位及CT片示:颈4~6椎体前缘的前纵韧带形成骨化,骨桥形成造成颈椎7个椎体中4个丧失生理活动。MRI示:椎间盘突出,压迫脊髓神经。诊断结果为:颈3/4椎间盘突出症伴不全脊髓神经损害;颈4/5、腰5/骶1椎间盘突出;前纵韧带骨化。于2013年12月27日在全身麻醉下行颈椎间盘置换+融合的“杂交”(Hybrid)手术,在颈前右侧作弧形切口,显露颈3~
1 case description Male patient, 50 years old. Because “numb hands and a year and a half, walk unsteady for 1 month ” in December 24, 2013 income in our department. After admission, physical examination and blood, urine, hepatitis B “two and a half”, liver and kidney function, chest X-ray and ECG were normal. Cervical X-ray and CT scan showed that the anterior longitudinal ligament of cervical vertebrae 4 ~ 6 formed ossification, and the formation of bone bridge caused 4 of 7 vertebrae of cervical vertebra to lose their physiological activity. MRI shows: Disc herniation, oppression of the spinal cord nerve. The diagnostic results were: cervical 3/4 disc herniation with incomplete spinal nerve damage; cervical 4/5, lumbar 5 / sacral 1 disc herniation; anterior longitudinal ligament ossification. On December 27, 2013 underwent cervical disc replacement and fusion under general anesthesia for “Hybrid” surgery. An arc-shaped incision was made on the right anterior cervical neck,