.790.中国骨伤2022年8月第35卷第8期China J0 thop Trauma,Aug2022,Vol.35,No.8专家共识·编者按本共识基于将髓型颈椎病中西医临床诊疗实践，探讨中西医结合诊疗疾病的思路与方策，结合我国脊髓型颈椎病中西医防治的临床经验而制定，共识突出临床实用性，尤其为临床医师在脊髓型颈椎病的防治中合理应用中西医治疗方法提供临床决策参考，以期促进料髓型颈椎病中西医结合治疗的规范化、有效性和安全性。脊髓型颈椎病中西医结合诊疗专家共识中国中西医结合学会骨伤科分会，莫文·，袁文2(1.上海中医药大学附属龙华医院，上海200032：2.海军军医大学第二附属医院，上海200003)【摘要】将髓型颈推病是景严重的颈推病亚型，具有临床症状重、致残率高、预后不理想等特点。中医和西医在将髓型颈推病不同阶段的珍疗各具有自身优势，为进一步规范补髓型颈推病的临床诊疗，提高临床疗效，基于前期研究经验，以循证医学证据为依据，经过全国专家组反复讨论，编制该中西医结合诊疗专家共识。本共识从补髓型颈推病的定义、病因病机、发病机制、诊断要点、治疗原则、中西医结合治疗、术后康复和护理调养等方面进行了全面介绍，以供临床医师参考。▣深回【关键词】将髓型颈推病；中西医结合；专家共识中图分类号：R274.9D0I:10.12200/5.issn.1003-0034.2022.08.017开放科学（资源服务）标识码(OSD):Expert consensus for diagnosis and treatment of cervical spondylotic myelopathy with the integrated traditional Chi-nese and western medicine Orthopoedics and Traumatology Branch of Chinese Society of Integrative Medicine,MO Wen',and YUAN Wen.1.Longhua Hospital Affiliated to Shanghai University of Troditional Chinese Medicine,Shanghai 200032,China:2.The Second Affiliated Hospital of the Naval Military Medical University,Shan ghai 200003,ChinaABSTRACT Cervical spondylotic myelopathy (CSM)is the most serious subtype,which is characterized by severe clinicalsymptoms,a high disability rate,and poor prognosis.Traditional Chinese medicine and Western medicine have their own ad-vantages in the diagnosis and treatment of CSM at different stages.In order to further standardize the clinical diagnosis andtreatment of CSM and improve the clinical efficacy,based on previous experience and evidence-based medicine,after repeateddiscussions by the national expert group,the expert consensus on the diagnosis and treatment of integrated traditional Chineseand Westem medicine was compiled.This consensus comprehensively introduces the definition,etiology,pathogenesis,diag-nosis treatment principles,integrated traditional Chinese and Western medicine treatment,postoperative rehabilitation andnursing care of cervical spondylotic myelopathy,so as to provide reference for clinicians.KEYWORDS Cervical spondylotic myelopathy;Integrated traditional Chinese and western medicine;Expert consensus随着社会人口老龄化的加剧以及学习、生活、工10%~15%山。脊髓型颈椎病临床症状重、致残率高，作方式的改变，颈椎病的发病率呈逐年上升趋势，且且预后具有不确定性，是最严重的颈椎病亚型山。寻有年轻化的倾向。在各颈椎病亚型中，脊髓型颈椎病找有效的脊髓型颈椎病诊疗方案，已成为当前中医(cervical spondylotic myelopathy,CSM)占颈椎病的骨伤科，西医脊柱外科、神经外科、康复科等学科亟待解决的重要科学和社会问题。在脊髓型颈椎病治基金项目：国家重大疑难疾病中西医临床协作试点项目（编号：2018疗方面，手术是西医的优势，但对手术指征和时机的3):国家中医药管理局中医药传承创新平台建设（编号：2020-6）：上海市卫生健康委员会石氏伤科流派脊髓型颈椎病防治传承创新团队把握、预后的判断尚缺乏确切依据。针对轻、中度脊(编号：2021LPTD-008)髓型颈椎病患者，有手术禁忌证的患者，以及术后康Fund program:National Clinical Pilot Project of Traditional Chinese and复阶段的患者，中医治疗具有优势。然而两者分型不Westem Medicine for Major and Difficult Diseases (No.2018-3)统一、治疗方式和理念差异较大、缺乏相关循证医学通讯作者：莫文E-mail:mw2218@126.com:袁文E-mail:yuanwen-spine@smmu.edu.cn证据，难以形成统一的中西医结合诊疗方案。因此充Corresponding author MO Wen Email:mw2218@126.com;分发挥中西医各自优势，建立中西医结合脊髓型颈YUAN Wen E-mail:yuanwenspine@smmuedu.cn椎病的诊疗体系，对于中西医结合临床研究及学术
