手术治疗胸腰段脊髓损伤320例报告  

A report of 320 patients with dosal and lumbar spina trauma treated by operation

作　　者：廖忠林[1] 俞新胜[1] 黄朝辉[1] 姜良洪[1] 刘庆志[1] 邹鸿星[1] 雷刚刚 杨淮河[1] 

机构地区：[1]中国人民解放军第九四医院,南昌330002

出　　处：《江西医药》1999年第6期334-335,共2页Jiangxi Medical Journal

摘　　要：目的　研究胸腰段脊柱脊髓损伤的手术治疗方法与效果。方法　回顾分析３２０ 例胸腰段脊柱脊髓损伤的各种手术治疗方法，并对１００ 例进行了３ ～５ａ 随访。结果　脊柱内固定器材，以椎弓根内固定技术最好，能达到坚强的固定，稳定脊柱；对脊髓损伤的后路手术只要在术中保留小关节，减压充分，同时在伤后一周内手术，可收到较好效果；大网膜移植覆盖脊髓可改善脊髓血供，有效防止术后粘连。Objective\ To investigate the methods and effects of surgical operations on patients suffering with thoracic and lumbar spinal trauma.Methods\ 320 cases with variety operation methods were studied.Among them,100 cases were follwed-up for 3～5 years.Results\ The fixation in the vetebral pedicle is the best of allmethods,because it can strongly fix and stabilize the spine.About the posterior operation of spinal marrow trauma,the results showed retaing of the small joingt,decompressing sufficiently and earlier operation (with l week)may ensue a better result.The grafted great omeatum covering spinal marrow can improve its blood supply and prevent adhesion after operation.

关 键 词：胸腰段 脊髓损伤 外科手术 

分 类 号：R651.205[医药卫生—外科学]