节点文献

无骨折脱位型颈脊髓损伤早期手术治疗的疗效观察

Observation on therapeutic effect of early operation techniques for cervical spinal cord injury without fracture or dislocation

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 钱华钧辛兵何玉泽王强郭开今

【Author】 QIAN Huajun;XIN Bing;HE Yuze;WANG Qiang;GUO Kaijin;Graduate School of Xuzhou Medical College;Department of Orthopedics,The Affiliated Hospital of Xuzhou Medical College;

【通讯作者】 郭开今;

【机构】 徐州医学院研究生学院徐州医学院附属医院骨科

【摘要】 目的 探讨无骨折脱位型颈脊髓损伤(cervical spinal cord injury without fracture and dislocation,CSCIWOFD)早期手术治疗的术式选择与神经功能恢复的关系。方法 回顾性分析30例平均3天内行手术治疗的CSCIWOFD患者的临床资料,同一位手术者根据病情及影像学资料的不同分别行颈前路减压植骨内固定术(A组,n=15),或颈后路全椎板切除钉棒内固定术(B组,n=9),或颈前后路联合手术(C组,n=6),并收集所有患者术前及术后平均10个月随访的日本矫形外科协会(Japan Orthopedic Association JOA)评分数据,进行组内及组间比较。结果 各组组内术后平均10个月随访JOA评分较入院时明显改善(P <0.05);3组组间JOA评分改善率比较差异无统计学意义(P>0.05)。结论 对于CSCIWOFD需要早期手术治疗的患者,术者根据病情及影像学表现采取合理的手术方法,其神经功能的恢复会达到较满意的效果。

【Abstract】 Objective To investigate the relationship between neurological recovery and the selection of early operation techniques for cervical spinal cord injury without fracture and dislocation(CSCIWOFD).Methods 30 cases with CSCIWOFD were retrospectively reviewed.All patients were treated by the same doctor who had taken the operation according to the clinical situation and radiological information,and the operation were taken within 3 days after injury.15cases(group A) were treated by anterior spinal cord decompression and reconstruction.9 cases(group B) were treated by posterior spinal cord decompression plus reconstruction.6 cases(group C) were treated by anterior combined posterior operations.The Japanese Orthopaedic Association score(JOA score) was evaluated before operation and at an average of10 months follow-up after operation.Results The JOA scores in all the groups were significantly improved at an everage of 10 months follow-up after operation compared with the JOA scores before operation(P <0.05).No siginificant differences were observed for the rate of improvement in JOA scores among the 3 groups(P> 0.05).Conclusion If patients with CSCIWOFD need early operation,proper operation techniques based on the clinical status and radiological information can achieve efficient clinical outcome.

【关键词】 脊髓损伤颈椎手术治疗
【Key words】 spinal cord injurycervical vertebraoperation
  • 【文献出处】 徐州医学院学报 ,Acta Academiae Medicinae Xuzhou , 编辑部邮箱 ,2012年03期
  • 【分类号】R651.2
节点文献中: 

本文链接的文献网络图示:

本文的引文网络