摘要
目的回顾性分析比较颈椎过伸性损伤患者行早期（小于24h）和晚期（大于24h）手术以及非手术治疗的疗效。方法自1995年1月～2005年6月间收治并获得随访的132例过伸性脊髓损伤患者中，31例行保守治疗，27例24h内行手术治疗，74例24h后行手术治疗，观察各组治疗前、后及随访时的AISA评分以及相关并发症。结果早期和晚期手术组术后随访临床疗效好于保守治疗组，差异有统计学意义（P〈0．01），早期和晚期手术组间差异无统计学意义（P〉0．05）；保守治疗、早期和晚期手术组肺炎的并发症的发生率分别是2／31（6．5％）、1／27（3．6％）和9／74（12．2％）。结论颈椎过伸性损伤患者手术治疗疗效好于保守治疗，晚期和早期手术对神经功能改善无明显差异，但晚期手术并发症相对增多。
Objective To compare retrospectively the functional outcomes of patients with cervical hyperextension injury undergoing early （ 〈 24 h） and late （〉 24 h） surgery and nonsurgical treatment. Methods A retrospective analysis was done for the 132 patients with cervical hyperextension injury who had been treated in our department from January 1995 to June 2005 and followed up. Thirty-one cases underwent conservative treatment, 27 cases early surgery, and 74 cases late surgery. The ASIA （American Spinal Injury Association） motor and sensory scores for each patient before and after operation, as well as complications, were reviewed to assess his or her neurological status. Results Early and late surgery resulted in better outcomes than conservative treatment （ P 〈 0. 01 ）, while no statistically difference was observed between early and late surgery （ P 〉 0. 05）. Incidences of pneumonia for nonsurgical treatment, early and late surgery were2/31 （6.5%）, 1/27 （3.6%） and9/74 （12.2%） respectively. Conclusions Surgical intervention is a better choice for cervical hyperextension injury than conservative treatment. Although no significant neurological or functional differences are noted between early and late surgery, pulmonary complications occur more in late surgery.
出处
《中华创伤骨科杂志》
CAS
CSCD
2007年第11期1023-1025,共3页
Chinese Journal of Orthopaedic Trauma
关键词
颈椎
脊髓损伤
保守治疗
手术
Cervical spine
Spinal cord injury
Conservative treatment
Surgery
