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阮綜合醫院神經外科鄭傑陽醫師為四肢癱瘓病人「神經減壓手術合併椎板整形手術」復健@電傳媒

Posted On By 吳 富正

【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

吳 富正
2udn011@gmail.com

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