ОБЩАЯ ХАРАКТЕРИСТИКА БОЛЬНЫХ С ОСТЕОХОНДРОЗОМ ШЕЙНОГО ОТДЕЛА ПОЗВОНОЧНИКА С СИНДРОМОМ «ШЕЯ - ВЕРХНЯЯ КОНЕЧНОСТЬ»

Acta Biomedica Scientifica

А. П. Животенко¹  З. В. Кошкарёва²  Т. К. Верхозина²  О. В. Скляренко²  Е. Г. Ипполитова²  Е. С. Цысляк³  В. А. Сороковиков³ 

[1] Иркутская государственная медицинская академия последипломного образования - филиал ФГБОУ «Российская медицинская академия непрерывного профессионального образования» Минздрава России;ФГБНУ «Иркутский научный центр хирургии и травматологии»;ФГБНУ «Иркутский научный центр хирургии и травматологии»

关键词: остеохондроз;    шейный отдел позвоночника;    клиническая характеристика;    МРТ;    МСКТ;    денситометрия;    электронейромиография;   

DOI  :  10.12737/article_5a0a84522c85a2.86877885

学科分类：自然科学（综合）

来源: Scientific entre for Family Health and Human Reproduction Problems

【 摘 要 】

1n 2015-2016 in Scientific-Clinical Department of Neurosurgery of 1rkutsk Scientific Center of Surgery and Traumatology, 22 patients (11 men and 11 women) were examined for osteochondrosis of the cervical spine and neck and upper extremity pain syndrome. Patients underwent clinical and neurological examination, radial methods of investigation (cervical survey radiography in the direct and lateral projections), functional tests (flexion and extension) and functional tests with weights, MSCT and MR1 of the cervical spine, radiographs of large joints of the upper extremities in two projections, stimulation electroneuromyography and osteodensitometry. The article presents the general clinical characteristics of the data of 22 patients with degenerative-dystrophic pathology of cervical spine and shoulder joint syndrome, and a moderate and severe neck and upper extremity pain syndrome. 1n the evaluation of clinical and neurological symptoms, unilateral cervicobrahialgia syndrome was detected in 19 (86 %) patients, cervicobrachialgia syndrome was noted on both sides in 3 patients, the syndrome of cervicocranialgia was noted in 4 patients. All radiographs showed deforming osteoarthritis of the clavicular-acromial joint (11 persons), shoulder (10 persons), elbow joint (4 persons). MR1 revealed a multilevel pathology of intervertebral discs. According to ENMG, there was a disturbance of the functional state of the peripheral nerves of the upper limbs, which manifested itself on both sides. The state of bone tissue of the limb with the pain syndrome was not significantly different from that of the healthy limb, and generally corresponded to the norm. Thus, the materials presented in the article represent the initial data of the examination of patients with the neck and upper extremity pain syndrome in the department of neurosurgery according to the algorithm developed in 1rkutsk Scientific Center of Surgery and Traumatology.

【 授权许可】

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