中青年颈椎无骨折脱位的急性颈脊髓中央型损伤的手术效果分析  

Analysis of the Effect of Operation for Acute Cervical Spinal Cord Injury without Fracture and Dislocation of the Cervical Vertebra

作　　者：杨立枫[1] 李治[1] 

机构地区：[1]沈阳医学院奉天医院骨四科,辽宁沈阳130012

出　　处：《中国医药指南》2013年第20期73-74,共2页Guide of China Medicine

摘　　要：目的观察分析对中青年颈椎无骨折脱位的急性颈脊髓中央型损伤进行手术的临床疗效。方法从我院收治入院的无骨折脱位的急性颈脊髓中央型损伤患者中抽取60例,随机分为观察组与对照组,观察组实施手术治疗,对照组实施非手术保守治疗。对比两组患者的治疗效果。结果两组患者入院时ASIA评分无明显差异(P>0.05);治疗后随访1年观察组患者的ASIA运动、感觉及总评分均明显高于对照组,差异有统计学意义(P<0.05)。结论对颈椎无骨折脱位的急性颈脊髓中央型损伤的中青年患者实施手术治疗,相比保守治疗,能明显提高患者的ASIA评分,具有更为理想的临床治疗效果。Objective To observe the clinical effect of acute central cervical cord injury were operation without fracture and dislocation of cervical vertebra. Methods Patients treated in our hospital from admission without fracture and dislocation of the acute cervical spinal cord injury in 60 cases, were randomly divided into observation group and control group, the observation group treated by operation, patients in control group received non operation treatment. Compared two groups of patients. Results The two groups of patients on admission ASIA score had no significant difference （P〉0.05）; the patients were followed up for 1 years in the observation group ASIA movement, sensation and total score were significantly higher than those in the control group, the difference was statistically significant （P〈0.05）. Conclusion The implementation of operation in treatment of acute cervical spinal cord injury without fracture and dislocation of the cervical spine in young patients, compared with conservative treatment, can significantly improve ASIA score of patients, clinical therapeutic effect is more ideal.

关 键 词：中青年 颈椎无骨折脱位 急性颈脊髓中央型损伤 手术治疗 

分 类 号：R683[医药卫生—骨科学]