无骨折脱位型颈髓损伤45例诊疗分析  

Diagnosis and treatment of cervical spinal cord injury without fracture or dislocation of 45cases

作　　者：陈剑[1] 李松强[1] 

机构地区：[1]丽水市中心医院,浙江丽水323000

出　　处：《浙江医学教育》2009年第4期51-53,共3页Zhejiang Medical Education

摘　　要：目的:评价无骨折脱位型颈髓损伤各种治疗方法的疗效。方法:本院45例无骨折脱位型颈髓损伤患者分别进行A组(1周内手术治疗),B组(1周后手术治疗),C组(非手术治疗),对3组患者JOA评分进行回顾性分析。结果:经出院后6-12月随访,患者JOA评分A组、B组与C组相比均显著增加,A组JOA评分增加显著高于B组。结论:早期手术治疗相比晚期手术治疗及非手术治疗,对患者病情改善效果最佳。[Objective]To evaluate the operative results of the cervical spinal cord injury without fracture or dislocation. [Method]A retrospective study was performed on 45 cases of cervical spinal cord injury without fracture or dislocation in our hospital.Patients were divided into group A(Surgical Treatment within a week ) group B(more than a week) group C(Non - operative Treatment.Comparisons were made on JOA(Japanese Orthopedic Association) scores among the groups before and after the operation.[Result]The total JOA scores of group A and B were apparently higher than those of group C;The JOA scores of group A were significantly higher than group B.[Conclusion]Early surgical treatment for cervical spinal cord injury without fracture or dislocation had better effects than the late surgical treatment and non - surgical treatment.

关 键 词：骨折脱位 脊髓损伤 治疗 

分 类 号：R651.2[医药卫生—外科学]