无骨折脱位型颈脊髓损伤107例  

Treatment experience of 107 cases of non-fracture and dislocation injury of cervical spinal cord

作　　者：李建炜[1] 张维成[1] 吴养[1] 李智[1] 方文焕[1] 颜志坚[1] 黄晓魏[1] 

机构地区：[1]广东省湛江中心人民医院骨科,524037

出　　处：《中国实用医刊》2012年第12期18-19,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨无骨折脱位型颈脊髓损伤的治疗方法以及手术时机与临床效果的关系。方法回顾性分析非手术与手术治疗的107例无骨折脱位型颈脊髓损伤患者的疗效。对手术治疗的39例患者，根据手术时间分为早期手术组12例（受伤3d内手术）和晚期手术组27例（受伤3d后手术），分析不同手术时机对临床效果的影响。结果保守治疗患者脊髓功能恢复程度低于手术治疗者（P〈0．05）。早期手术组较延期手术组同期神经功能改善明显（P〈0．05）。结论无骨折脱位型颈脊髓损伤患者应早期手术治疗。Objective To investigate the treatment of non-fracture and dislocation injury of cer- vical spinal cord and the relationship between the timing of surgery and the clinical results. Methods The therapeutic effects of 107 patients treated with conservative treatment and operative treatment in the management of non-fracture and dislocation injury of cervical spinal cord. Early surgery （ within 3 d of in- jury） was performed for 12 patients and delayed surgery （ after 3 days of injury） for 27 patients. The effects of the timing of surgery on the clinical results were evaluated. Results The myeloid functional re- covery was poor in patients treated with conservative means but good in those treated with operation. There were significant differences in outcomes between the two groups （P 〈 0. 05 ）. The early operative group got better nerve function than the delayed operative group, and the difference between the two groups was significant statistically （P 〈 0. 05）. Conclusions Non-fracture and dislocation injury of cervical spi- nal cord should be operated early.

关 键 词：颈椎 脊髓损伤 保守治疗 手术时机 疗效 

分 类 号：R651.2[医药卫生—外科学]