颈椎过伸性损伤的早期手术治疗  

作　　者：邵强 方斌 余建 蔡飞龙 黄轶锋 王勇刚 

机构地区：[1]浙江省绍兴市中心医院骨一科,312030

出　　处：《浙江临床医学》2015年第4期520-521,524,共3页Zhejiang Clinical Medical Journal

摘　　要：目的：探讨早期手术治疗在颈椎过伸性损伤治疗中的临床效果。方法选取2005年12月至2013年1月治疗的48例过伸性颈椎颈髓损伤患者，对35例接受手术治疗的病例资料进行回顾性分析。结果经6.5-18个月（平均12.5个月）的随访，所有病例均获得骨性愈合。神经功能按Frankel分级：术前A级2例、B级6例、C级22例、D级5例；术后A级1例、B级4例、C级5例、D级10例、E级15例。结论颈椎过伸性损伤早期手术治疗可获得良好的临床效果。Objective To investigate the clinical effect of early surgery in the treatment of cervical hyperextension injury.Method 48 cases of cervical hyperextension injury from 2005 December to 2013 January in our hospital,of which 35 patients underwent operation treatment , were retrospectively analyzed. Result After 6.5-18 months（average 12.5 months）follow-up,all cases obtained bone healing. The postoperative neurological function by Frankel classification are as follows：1 cases of Grade A, 4 cases of grade B, 5 cases of grade C, 10 cases of grade E, and 15cases of grade D, compared with 2 cases of Grade A, 6 cases of grade B, 22 cases of grade C, 5 cases of grade D pre-operatively. Conclusion Early surgery in patients with cervical hyperextension injury can achieve good clinical effect.

关 键 词：过伸性损伤 颈椎 手术 

分 类 号：R651.2[医药卫生—外科学]