摘要
目的探讨无骨折脱位型颈髓损伤的手术时机和治疗效果。方法对35例手术治疗的无骨折脱位型颈髓损伤病例进行回顾性分析,分组比较患者手术前后的美国脊髓损伤学会脊髓损害分级、日本骨科学会颈髓损害功能评分及神经功能改善情况,观察临床效果。结果术后患者的脊髓损害分级、颈髓损害功能评分均较术前显著提高;早期手术组术后3月及术后12月神经功能改善率分别为(58±35)%和(63±34)%,延期手术组同期神经功能改善率为(34±32)%和(40±32)%,早期手术组比延期手术组同期神经功能改善明显,差异具有显著性意义(P<0.05)。结论无骨折脱位型颈髓损伤存在着病理学基础,应当根据其特点早期采取手术治疗,治疗效果确切。
Objective To discuss the operative time and treatment outcomes of cervical spinal cord injury without fracture and dislocation.Methods The cases of 35 patients with cervical spinal cord injury without fracture and dislocation treated by operation were divided into two groups and retrospectively analyzed.American spinal injury association impairment scale and Japanese orthopedic association score and the curative probability of nerve function of patients before and after operation were compared,and the treatment outcomes were observed.Results The American spinal injury association impairment scale and Japanese orthopedic association score of patients after operation were improved significantly.The curative probability of nerve function of the early operative group in 3 month and 12 month after operation was（58 ± 35）% and（63 ± 34）% respectively,while that of late operative group in the same time was（34 ± 32）% and（40 ± 32） % respectively.The early operative group got better nerve function than that of the late operative group,and the difference between the two groups was significant statistically（P 0.05）.Conclusions There exists pathological basis in the cervical spine of the patients of cervical spinal cord injury without fracture and dislocation.The various operative methods should be adopted to treat the injuries according to their characteristics,and the treatment outcomes are certain.
出处
《临床医学工程》
2011年第4期525-527,共3页
Clinical Medicine & Engineering
关键词
颈椎
无骨折脱位
脊髓损伤
手术
疗效
Cervical vertebrae
Non-fracture and dislocation
Spinal cord injury
Operation
Curative effect
