脊髓切开术治疗创伤性脊髓损伤的手术时机研究进展(英文)  

Recent advances in surgical timing of myelotomy after traumatic spinal cord injury

作　　者：杨德刚[1] 李建军[1] 杨明亮[1] 胡安明[1] 顾蕊[1] 杜良杰[1] 

机构地区：[1]首都医科大学康复医学院、中国康复研究中心脊柱脊髓神经功能重建科,北京100068

出　　处：《首都医科大学学报》2015年第1期147-150,共4页Journal of Capital Medical University

基　　金：supported by The Supporting Program of the Twelve Five-year Plan for Science&Technology Research of China(2012BAI34B02);National Natural Science Foundation of China(81272164)~~

摘　　要：创伤性脊髓损伤的患病率逐年增加,预后没有根本改观,严重影响人类的健康与生活质量。脊髓损伤后髓内出血、水肿,在软硬脊膜的束缚下可能导致实质内压力增高,导致缺血缺氧,加重脊髓的继发性损伤进程。脊髓切开术切开硬脊膜、软脊膜、肿胀脊髓,释放坏死物质,是治疗脊髓损伤的有希望的途径之一。目前仍无脊髓切开术治疗创伤性脊髓损伤的规范化手术方案,本文作者对其手术时机的研究作一综述。The prevalence of traumatic spinal cord injury（ TSCI） is increasing year by year,and there is no fundamental change in its prognosis,therefore it seriously influences the patients＇ health and quality of life. After trauma,spinal cord hemorrhage and swelling without damage of the dura matter increase subdural pressure and results in exacerbation of ischemia and hypoxia,which aggravate secondary damage. Myelotomy cuts open dura,pia matter and swelling spinal cord,and evacuates necrotic tissues,which could be a potential therapeutic method for SCI. However,there is no standardized operational process on myelotomy in the treatment of TSCI. Here issues related to the surgical timing of myelotomy after traumatic spinal cord injury are discussed.

关 键 词：创伤性脊髓损伤 脊髓切开术 手术时机 

分 类 号：R651.2[医药卫生—外科学]