不同年龄段无骨折脱位颈脊髓损伤患者的临床特征分析  

Analysis on clinical features of patients of different ages with cervical spinal cord injury without fracture and dislocation

作　　者：曾范慧 闫艳芳 王光辉 Zeng Fanhui;Yan Yanfang;Wang Guanghui(Department of Orthopedics,Central Hospital of Zhumadian,Zhumadian 463000,China)

机构地区：[1]河南省驻马店市中心医院骨一科,463000

出　　处：《中国实用医刊》2020年第8期41-44,共4页Chinese Journal of Practical Medicine

摘　　要：目的分析不同年龄段无骨折脱位颈脊髓损伤患者的临床特征。方法回顾性分析2017年1月至2019年8月驻马店市中心医院收治的168例无骨折脱位型颈脊髓损伤患者的临床资料,比较不同年龄段无骨折脱位颈脊髓损伤患者的基线资料、治疗方式及预后情况等方面的特征。结果不同年龄段患者男女性别例数比较,差异未见统计学意义(χ^2=3.840,P>0.05);交通伤、平地跌倒致病在不同年龄段患者人数分布比较,差异有统计学意义(χ^2=35.530、110.326,P<0.05);重物砸伤、打击伤、运动伤、其他原因致病的患者,在不同年龄段的分布情况比较,差异未见统计学意义(P>0.05);X线片中见颈椎后纵韧带骨化、颈椎椎体骨质增生、椎体前缘软组织肿胀异常患者在不同年龄段的分布比较,差异有统计学意义(χ^2=86.764、71.775、49.352,P<0.05);CT检查见中后纵韧带骨化异常患者在不同年龄段的分布比较,差异有统计学意义(χ^2=101.844,P<0.05);不同年龄段患者选择治疗方案的倾向性比较,差异有统计学意义(P>0.05);不同年龄患者治疗前后日本骨科协会评估治疗分数(JOA评分)以时间因素以及时间因素和年龄的交互作用比较,差异有统计学意义(P<0.05);治疗后,JOA评分呈明显上升趋势(P<0.05),不同年龄段两两比较,差异未见统计学意义(P>0.05)。结论不同年龄段无骨折脱位颈脊髓损伤患者致病原因存在明显差异,X线片及CT检测结果可作为患者的诊疗方案选择的依据。临床诊疗要充分考虑患者的个体差异性。Objective To analyze the clinical features of patients of different ages with cervical spinal cord injury without fracture and dislocation.Methods The clinical data of 168 patients without fracture and dislocation type cervical spinal cord injury treated in Central Hospital of Zhumadian from January 2017 to August 2019 were retrospectively analyzed,and the characteristics of baseline data,treatment mode and prognosis of patients without fracture and dislocation type cervical spinal cord injury in different age patients were compared.Results There was not significant difference between the numbers of men and women in different ages(χ^2=3.840,P>0.05).The distribution of patients with traffic injuries and flat-land falls were significant in different ages(χ^2=35.530,110.326,P<0.05).The distribution of heavy injury,strike injury,sports injury and other causes of disease in patients with different ages were not significant(P>0.05).In X-ray films,ossification of the posterior longitudinal ligament of the cervical spine,hyperosteogeny of the cervical vertebra,and swelling of the soft tissue at the front of the vertebral body were observed,and the differences were significant(χ^2=86.764,71.775,49.352,P<0.05).CT examination showed that there were significant differences in the distribution of abnormal longitudinal ligament ossification in different ages,and the difference was significant(χ2=101.84,P<0.05).There was no significant difference in the choice tendency among the patients in different ages(P>0.05).The Janpanese Orthopaendic Association(JOA)score of patients in different ages before and after treatment with time factor and interaction between time factor and age,the differences were significant(P all<0.05);after treatment,the JOA score showed a significant upward trend(P<0.05).By multiple comparison between the different ages,the difference was not statistically significant(P>0.05).Conclusions There are obvious differences in the causes of cervical spinal cord injury without fracture and dislocation in differ

关 键 词：无骨折脱位颈脊髓损伤 年龄分布 日本骨科协会评估治疗分数 

分 类 号：R651[医药卫生—外科学]