颈椎病如何鉴别诊断?

2025-04-08 05:05:13
推荐回答(4个)
回答1:

颈椎病的症状主要有颈部肌肉的疼痛、上肢无力、手指麻木、头痛、头晕等症状。
症状和颈椎病分型有关系,颈型颈椎病以青壮年为多,晨起时多见,以颈部酸痛、胀痛及不适感为主,尤其是患者常常诉说颈部,不知放在何种位置为好,多半数的病人颈部活动受限被迫体位。
神经类型颈椎病主要是颈部疼痛和上肢麻木,受力神经分布区感觉障碍麻木,甚至肌肉萎缩,头痛、头晕,肱二头肌、肱三头肌、脑骨骨膜反射减弱或消失。
椎动脉型颈椎病主要是脑供血不足引起的一系列症状,头晕、头痛、耳鸣、耳聋、记忆力减退、视力障碍、健忘、失眠及多梦等等,严重可猝倒。
脊髓型颈椎病主要以下肢无力、双腿发紧、跛行、易跌倒、步态笨拙,及束胸感生理反射异常,出现病理反射,以霍夫曼征及踝阵挛髌阵挛、babinski征,均可出现阳性。
食管型颈椎病,早期主要以吞服硬食物时有困难感,及食后胸骨有着异常感,烧灼、刺痛感,进而影响软食和流食饮食都疼。按其吞咽困难程度不同分为轻度,表现为仰颈时吞咽困难,屈颈时消失;中度指的是可吞服饮食和流质者较为多见,且来就诊患者较多;重度颈可进食汤者,但少见。

回答2:

1.可以采取臂丛牵拉实验的检查进行确诊。2.也可以选择上之前拉实验的方法进行确诊。一般在患上颈椎病后会出现颈椎疼痛的情况,并且在早晨起床后,也有可能会导致颈椎的部位出现僵硬的状况,颈椎病可能是因为长期保持一个姿势引发的。

回答3:

颈椎病可以根据临床表现和检查诊断。颈椎病的临床症状较为复杂。主要有颈背疼痛、上肢无力、手指发麻、下肢乏力、行走困难、头晕、恶心、呕吐,甚至视物模糊、心动过速及吞咽困难等

回答4:

脖子不舒服难受,颈椎疼

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