目的 通過對85例頸椎病影像學資料進行分析，探討頸椎病的影像學特征及其X線片、CT、MRI及MRA檢查方法的選擇原則，以便臨床上對不同類型以及不同程度的頸椎病選擇合適的診斷技術。 方法 2005年6月-2009年7月，85例均行頸椎標準X線片、CT、MRI及MRA檢查，對其影像學資料進行分析。 結果 頸椎病以椎體及小關節增生、生理曲度改變、椎間隙變窄和局部失穩為常見X線表現，X線片、CT、MRI及MRA對頸椎病的診斷有不同的優點及限度。 結論 X線片為首選檢查方法，絕大部分可明確診斷，特殊情況加做CT、MRI或MRA檢查。
【摘要】 目的 探討椎管內囊腫的手術治療療效。 方法 2006年5月-2009年12月對30例患者的臨床表現、影像學和治療情況進行回顧性分析。 結果 30例均行手術治療，3例為椎管內單側硬膜下髓外囊腫，3例為腦脊膜囊腫，12例為髓外硬脊膜下囊腫，9例為神經根袖套部囊腫（Tarlov囊腫），3例為脊管內腸源性囊腫。術后21例癥狀消失；9例好轉，其中3例術后發生腦脊液漏，傷口二次縫合未成功，后經內引流后切口愈合。 結論 椎管內囊腫的臨床表現及體征復雜，不典型，與椎管內腫瘤及椎間盤突出癥的臨床表現和體征相似；對癥狀及體征明顯者宜施行手術治療，手術治療效果較滿意。【Abstract】 Objective To evaluate the therapeutic effect of the surgery on intraspinal cyst. Methods A total of 30 patients from May 2006 to December 2009 were collected, and the clinical manifestations, results of examinations and therapeutic effects were retrospectively analyzed. Results All the patients underwent the surgery, inluding 3 with unilateral intraspinal subdural extramedullary cyst, 3 with meningeal cyst, 12 with subdural extramedullary cyst, 3 with nerve-root oversleeve cyst (Tarlov cyst), and 3 with intra-spinal-canal enterogenous cyst. Afterh the surgery, the symptoms disappeared in 21 patients, alleviated in 9 including 3 with postoperative cerebrospinal-fluid leakage whose wound was not sutured successfully for the second time and healed up after drainage. Conclusions The clinical manifestations of intraspinal cyst are complicated and untypical, which is similar to that of intraspinal tumor and slipped disc. The surgeries should be performed on the patients with obvious symptoms and the therapeutic effect is good.