摘要
目的：了解脊髓硬膜外血肿（ＳＥＨ）与压迫性脊髓损伤的关系。方法：急诊收治１３例外伤性ＳＥＨ，行Ｘ线和ＭＲＩ检查，并予手术治疗。所有患者都有进行性神经功能障碍，从症状开始到手术的时间平均２６ｈ，平均随访时间是１２个月。结果：ＳＥＨ可对脊髓产生压迫损伤，急诊手术减压可减轻这种损伤，其中２３％完全恢复，７７％部分恢复。术前的神经功能水平与术后的改善程度有关，手术开始的时间与术后神经功能改善也直接相关。手术越早，功能恢复越好。伤后２４ｈ内手术较２４ｈ后手术有更好的神经功能恢复。结论：对ＳＥＨ的迅速的诊断和手术处理能最大限度地改进神经功能、减轻对脊髓的压迫损伤。
Objective: To investigate the relation between spinal epidural hematoma(SEH) and compressive spinal cord injury. Methods: Thirteen patients were examined by Xray and MR imaging and treated surgically for SEH. All of these patients resulted from spinal trauma. All patients developed neurological deficits. The average interval from onset of symptom to surgery was 26 h. Surgical evacuation of the hematoma was performed in all patients. Mean followup was 12 months. Results: Emergency surgical treatment reduced cord injuries. Complete recovery was observed in 23% of the patients and functional recovery was observed in 77%. Preoperative neurological status correlated with outcome. The rapidity of surgical intervention also correlated with outcome; greater neurological recovery occurred as the interval from symptom onset to surgery decreased. Patients taken to surgery within 24 h had better neurological outcomes than other patients. Conclusion: This demonstrates that rapid diagnosis and emergency surgical treatment maximize neurological recovery.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
1997年第6期575-577,共3页
Academic Journal of Second Military Medical University
基金
国家自然科学基金
关键词
脊髓损伤
压迫性
硬膜外血肿
临床分析
hematoma, spinal epidural
spinal cord, injuries, compression
