摘要
目的 探讨自发性硬脊膜外血肿的出血原因,临床表现,MRI特征,诊断及治疗.方法 本组7例自发性硬脊膜外血肿患者均行MRI检查,均采用后正中入路,行椎管探查,硬脊膜外血肿清除术并椎板减压术,4例术中见硬脊膜外血管畸形,分别在显微镜下予以结扎或电凝并切除病变.结果 本组无1例死亡.随访0.5-2.5年,患者均预后良好,按脊髓损伤的Frankel分级,D级4例,E级3例.无复发.结论 MRI检查能清楚显示血肿的部位,范围及脊髓受损情况,是诊断本病的最佳方法,及时的脊髓减压手术是改善自发性硬脊膜外血肿患者预后的关键.
Objective To explore the cause, clinical and MRI manifestations, diagnosis and treatment of Spontaneous spinal epidural hematoma （SSEH）. Methods MRI examination was performed in 7 patients with SSEH. who were treated in our hospital from 1996 to 2005. The evacuation of spinal epidural hematomas and decompression of spinal cord with resection of vertebral lamina through posterior median approach were performed in all the patients. The spinal epidural vascular malformation found during the operation were resected in 4 patients, Results No patients died. The followlng-up from 0.5 to 2.5 year showed that the prognoses were good in all the patients and according to Frankel grading, 4 belonged in grad D. and 3 in grade E, Conclusion MRI can clearly show the location and extent of hematoma, as well as the injury of spinal cord. So MRI is the best method to diagnose SSEH. Decompression of spinal cord in time is the key procedure to improving the prognosis in the patients with SSEH.
出处
《中国临床神经外科杂志》
2006年第8期478-480,共3页
Chinese Journal of Clinical Neurosurgery
关键词
自发性硬脊膜外血肿
出血原因
临床表现
诊断
治疗
预后
Spontaneous spinal epidural hematoma, Hemorrhagic cause
Diagnosis
Treatment
Prognosis
