【電傳媒-記者吳富正、陳瑜辰／2020.06.09.高雄報導】
【阮綜合醫院】神經外科鄭傑陽醫師分享，旗山務農63歲熊先生，就醫前一個月，出現漸進式四肢無力，去年底到旗山醫院神經科求治，經神經傳導檢查、肌電圖檢查和核磁共振檢查後發現是頸椎第3、4、5、6節狹窄，壓迫神經導致脊髓水腫，因為鄭傑陽醫師之前為旗山醫院脊椎外科主任，親友介紹他到【阮綜合醫院】神經外科鄭醫師的門診求治。熊先生門診時，面容憔悴憂鬱坐在輪椅，無法直立行走，自訴雙手下垂連拿筷子的力氣也沒有，連吃飯都需要餵食，他確實四肢無力，已經是癱瘓的狀態。
鄭傑陽醫師告知熊先生需要立即住院施行頸椎第3、4、5、6節「神經減壓手術合併椎板整形手術」，原本擔心開刀後無法恢復如常，後來在鄭醫師鼓勵下進行手術治療，住院一週後出院。熊先生出院後，住家就近到旗山醫院積極配合鄭醫師安排復健療程～四肢肌力、協調能力復健，站立訓練、上肢抓握力訓練等。熊先生經積極復健，目前生活已可完全自理。
鄭傑陽醫師表示，頸椎狹窄(Cervical spinal stenosis)的原因有屬於老化、退化的椎間盤骨刺、韌帶肥厚鈣化，還有腫瘤，這些情形下，壓迫到脊髓所在的脊椎腔和頸神經根通過的脊椎神經孔變得狹窄，所以頸椎狹窄的患者會有:脖子酸痛，順著肩膀、手臂到手指產生麻痛、沒力，無法做細微的動作，走路腳步逐漸僵硬無力、麻痺等症狀。頸椎狹窄的症狀是慢慢加劇，而非急性疼痛，所以治療上，症狀輕微的保守療法是改變姿勢、睡姿、枕頭，避免長時間低頭，熱療，頸椎牽引和電療等物理治療。但症狀嚴重時，保守治療不但無效，還反復發作，這時候手術減壓是唯一的方法，若求助傳統整脊、推拿，卻常使病情惡化。
鄭傑陽醫師呼籲，手術治療確實有低於5%的危險性，是因為脊椎過度使用和年齡的影響，使手術有其極限，難以完全回復；而術後恢復的程度和速度則因人而異，通常年齡越大病症愈嚴重，拖延就醫的時間愈長、恢復愈慢愈有限；因此，一旦保守治療無法改善，切莫諱疾忌醫。
【阮綜合醫院】http://www.yuanhosp.com.tw/
高雄市苓雅區成功一路162號(07)335-1121~31
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