急性自发性脊椎管内硬膜外血肿的诊治体会  

Experience of diagnosis and treatment of spontaneous spinal epidural hematoma

作　　者：全必春[1] 邓展生[1] 许自立[1] 许宇霞[1] 周全[1] 叶川[1] 

机构地区：[1]中南大学湘雅医院脊柱外科,湖南长沙410008

出　　处：《中国现代医学杂志》2009年第3期433-434,共2页China Journal of Modern Medicine

摘　　要：目的分析急性自发性脊椎管内硬膜外血肿的临床特征及其相应的治疗方式。方法回顾性分析2004年3月～2007年5月该院确诊急性自发性脊椎管内硬膜外血肿患者5例,均采用相应节段的椎板开门减压并清除血肿加微形钛板内固定椎管成形术。结果该组病例术后随访5～28个月,神经功能平均恢复2级(Frankel分级),较术前有明显改善。结论急性自发性脊椎管内硬膜外血肿预后的关键是早期的诊断,诊断明确后应立即行相应节段的椎板开门减压并清除血肿,早诊断和早治疗是影响预后的最主要因素。[Objective] To explore the characteristics of acute spontaneous spinal epidural hematoma and evaluate the rational treatment. [Methods] To consider retrospectively 5 cases diagnosed in our hospital during March of 2004 to May of 2007 were treated by laminaplasty open door decompression and eliminating hematoma of correspending segments adding recapping laminaplasty with mini titanium plate. [Results] This group cases have been follow up from 5 months to 28 months. Improved 2 grades in average with Frankel neurological classifications had a evidence improve. [ Conclusion] The key of prognostic of acute spontaneous spinal epidural hematoma is early diagnosis. It should be had laminaplasty open door decompression and eliminating hematoma of corresponding segments immediately after clear diagnosis. So early diagnosis and early treatment are the most important factors effecting prognosis.

关 键 词：自发性 硬膜外血肿 椎板回植 

分 类 号：R687.37[医药卫生—骨科学]