摘要
目的探讨无骨折脱位型颈脊髓损伤后,MRI在手术方式选择中的价值以及术后疗效。方法回顾分析60例无骨折脱位型颈脊髓损伤的患者。损伤后根据MRI表现分两组:A组30例,采用前路切开复位、椎间盘摘除取髂骨植骨钛钢板内固定术;B组30例,多节段颈椎间盘突出且椎管/椎体<0.75的患者,采用后路单开门椎管扩大成形术。手术效果采用美国脊髓损伤学会(ASIA)标准评价。结果A组:脊髓功能评分,治疗前:感觉79.83±16.02,运动70.70±20.40;治疗后:感觉89.13±11.06,运动80.60±11.83;B组:脊髓功能评分,治疗前:感觉68.60±19.50,运动53.46±21.32;治疗后:感觉75.87±21.72,运动72.86±21.76。脊髓功能恢复程度(感觉、运动),P<0.05差异有显著意义。结论MRI在无骨折脱位型颈脊髓损伤后的手术方式选择中起着重要作用,而合理的手术方式对促进脊髓功能的恢复有重要临床意义。
Objective To evaluate the value of MRI in the choice of operation style and postoperative effect after cervical spinal cord injury without fracture and dislocation. Methods 60 cases were retrospectively analyzed. According to MRI, 60 cases were divided into two groups： in group A （ n = 30 ）, patient whose anterior spinal compression underwent anterior cervical discectomy and fusion or corpectomy surgery; in group B （n = 30）, patient whose canalis spinalis and vertebral body ratio was less than 0.75 apply posterior cervical spine canal open - door laminoplasty. The results of operation were evaluated by ASIA. Results Spinal cord function score in group A, pre - treatment ： sensation 79.83 ± 16.02, motion 70.70 ± 20.40 ; post - treatment sensation 89.13 ± 11.06, motion 80.60 ± 11.83. Spinal cord function score in group B, pre - treatment： sensation 68.60 ± 19.50, motion 53.46 ± 21.32 ; post - treatment： sensation 75.87 ±21.72, motion 72.86 ±21.76. Recovery level of spinal cord function was significance （P 〈0.05）. Conclusion MRI is important in the choice of operation style and postoperative effect after cervical spinal cord injury without fracture and dislocation and reasonable operation style is clinical significance to promote recovery of spinal cord function.
出处
《宁夏医学杂志》
CAS
2008年第3期225-227,共3页
Ningxia Medical Journal
关键词
MRI
无骨折脱位
术式选择
MRI
Cervical spinal cord injury
Operation style
