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颈椎后路微创脊髓神经外科减压手术 – 香港微創腦及脊椎神經外科手術中心

颈椎后路微创脊髓神经外科减压手术

以外科手术治疗颈椎神经管道病变 Minimally Invasive Neurosurgery for Posterior Cervical Mini-laminectomy for Spinal Cord Decompression

传统的颈椎后路椎板切除手术(Traditional Posterior Cervical Decompressive Laminectomy) 是以外科手术来治疗颈椎神经管道因为病变而变得陕窄: 即是颈椎神经管道狭窄症(Cervical Spinal Stenosis) 的问题。颈椎神经管道变得陕窄的原因多是因为: 退化、劳损、受伤或其他疾病导致

  1. 颈椎间盘突出
  2. 后纵韧带变厚或骨化(Ossification of the Posterior Longitudinal Ligament OPLL)
  3. 黄韧带变厚 ( Thicken Ligament Flavum)。

 

然而神经管道变得陕窄的后果就是令致颈椎脊髓神经受压,影响负责控制我们四肢、躯干及大小便的中枢神经功能。

Cervical Spinal Stenosis颈椎神经管道狭窄症状

Cervical Spinal Stenosisl
Cervical Spinal Stenosisl

颈椎神经管道狭窄症状的病人除了有颈椎不稳定的症状外,亦会有神经受压的病症。颈椎不稳定会引起肌肉崩紧、颈背痛、膊头痛及头痛。而神经受压会令到感官神经及运动神经功能失调,病人会有手脚神经麻木痹痛、肌肉无力或痿缩丶平衡失调及行路不稳丶小便频密丶夜尿丶及大便困难和便秘的症状。此外反射神经及交感迷走神经的功能失调,亦会导致病人头晕、耳鸣、肠胃不适、甚至乎情绪不稳定。 

肌肉无力或痿缩 平衡失调及行路不稳

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