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中英文字幕:脊髓病(Myelopathy)

 高晨珉话脊柱 2019-06-20

       脊髓受压可引起脊髓病变。在颈部当椎管狭窄就可能出现脊髓病变。椎间盘或关节突关节的退变及椎管内骨刺形成均可导致脊髓病变。前者即脊源性脊髓病,后者即狭窄合并脊髓病。


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Myelopathy

脊髓病

Compression on the spinal cord is known as myelopathy. This occurs when the spinal canal becomes restricted in the neck or upper back. This may be due to degeneration in the discs and facet joints (spondylotic myelopathy) or bone spur formation in the spinal canal (stenosis with myelopathy).

  脊髓受压可引起脊髓病变。在颈部当椎管狭窄就可能出现脊髓病变。椎间盘或关节突关节的退变及椎管内骨刺形成均可导致脊髓病变。前者即脊源性脊髓病,后者即狭窄合并脊髓病。

Overview(概述)

Myelopathy is spinal cord dysfunction related to abnormal pressure placed on the spinal cord. Unlike conditions that cause pressure on individual nerve roots, this type of damage can result in loss of nerve function anywhere along the spinal cord below the damaged area. The effects of myelopathy can range from mild to severe, and can worsen over time.

  脊髓病是与脊髓受到异常压力有关的脊髓功能障碍。与引起单独的神经根受压的病变不同,这种类型的损伤会导致受伤平面以下的任何神经功能障碍。脊髓病变的影响轻重不等,随着时间的推移会加重。

Myelopathy from disease or degeneration(因疾病或退变引起的脊髓病)

Myelopathy most commonly results from pressure on the spinal cord because of a reduction in the space available for the cord. This can occur from disc herniation, bone spur formation,spinal stenosis, or a thickening of the soft tissues tha surround the spinal cord, such as the ligamentum flavum or the posterior longitudinal ligament.

  脊髓病最常因容纳脊髓的空间变小导致脊髓受压引起。这种情况可因椎间盘突出、骨刺形成、椎管狭窄或脊髓周围的软组织增厚,比如黄韧带或后纵韧带。

Symptoms (症状)

Symptoms may include difficulty walking or maintaining balance, loss of bladder control or other functions, loss of fine motor skills, weakness, numbness,tingling, pain, and paralysis.

  症状包括行走困难、平衡失调、大小便失控、正常活动功能的丧失、乏力、麻木要、针刺感、疼痛以及麻痹。

Treatment(治疗)

Treatment options vary depending on the cause of the loss of nerve function. Some conditions that cause myelopathy may be treated successfully with surgery. Medication may be needed to manage chronic pain.

  根据引起神经功能丧失的原因,治疗方法各不相同。有些类型的引起脊髓病的病变,用手术可以成功地治疗。为控制慢性疼痛,可能需要使用药物治疗。

(高晨珉     转)

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