摘要
目的:探讨自发性硬脊膜外血肿(SSEH)的临床特征,治疗及影响预后的因素。方法:回顾性分析6例自发性硬脊膜外血肿患者的临床特征、手术治疗时机和手术后神经功能恢复,结合有关文献,分析影响预后的因素。结果:SSEH好发青壮年患者,多急性起病。患者术前神经功能状态越好预后越好,随访证实术后6例患者神经功能均能得到不同程度恢复。结论:MRI是最佳最快诊断方式,尽早椎板减压手术可以有效恢复脊髓功能。
Objective To investigate the clinical features, treatment and factors affecting the prognosis ot spontaneous spinal eqidural hematoma（SSEH）. Methods The clinical features, timing of surgical treatment and recovery of neurological function after surgical treatment in 6 patients with SEEH from June 2005 to December 2007 were analyzed retrospectively based on literature review and the factors affecting the outcome were evaluated. Result SSEH was liable to occur in young people and most of cases were acute. The outcome was closely related to the interval between the onset and surgery. Neurological outcome of 6 patients was improved or recovered with surgical management by the following-up from 0.5 to 2.5 year. Conclusion MRI is the optimal and fast method of diagnosis. Decompression of spinal cord in time is the key procedure for improving the neurological outcome of the patients.
出处
《安徽卫生职业技术学院学报》
2008年第2期29-30,46,共3页
Journal of Anhui Health Vocational & Technical College
关键词
自发性硬脊膜外血肿
诊断
治疗
预后
磁共振
Spontaneous spinal eqidural hematoma
Diagonis, Treatment, Prognosis, Magnetic resonance
