无骨折脱位型颈髓损伤的手术治疗  

Surgical treatment of cervical spinal cord injury without fracture and dislocation

作　　者：梅盛前[1] 陈其昕[1] 陈维善[1] 吴琼华[1] 兰俊[1] 

机构地区：[1]浙江大学医学院附属第二医院骨科

出　　处：《临床骨科杂志》2006年第4期301-302,共2页Journal of Clinical Orthopaedics

摘　　要：目的探讨无骨折脱位型颈髓损伤手术时机及手术方法的选择。方法24例无骨折脱位型颈髓损伤手术患者,根据手术时间分为A组(1周内手术)和B组(1周后手术)。根据损伤时日本骨科学会(JOA)评分、治疗后随访JOA评分,比较手术治疗前后A、B两组JOA评分增加幅度。结果所有患者脊髓功能均有不同程度恢复。A组患者脊髓功能恢复程度比B组好。结论手术治疗效果明显,手术疗效与手术时机有关,伤后至手术时间越短,效果越好。只要术式选择合理、手术操作正确,前后路手术均能获得脊髓神经功能不同程度恢复。Objective To explore the operative treatment in the management of cervical spinal cord injury without fracture and dislocation, and the timing of the operation, Methods Twenty-four cases with cervical spinal cord injury without fracture and dislocation were retrospectively analyzed and divided into A group（ ≤7 days）and B group（ 〉 7 days） according to the time of surgery . JOA（ Japanse Orthopaedic Association） scores at injury and during followup were recorded to make a comparison between A group and B group before and after operation. Results The spinal cord function recovered at some extent in those who had been given an operation. The spinal cord functional recovery of A group was better than B group. Conclusions The operative treatment promises better outcome. The shorter the lapse between the injury and operation, the better the effect, As long as the choice of surgical approach and the procedure is correct, the spinal cord function can acquire an optimal recovery both through the anterior and posterior approaches.

关 键 词：颈椎 骨折脱位 脊髓损伤/外科学 颈椎间盘 

分 类 号：R651.2[医药卫生—外科学] R687.3[医药卫生—临床医学]