摘要
目的探讨无骨折脱值型颈脊髓损伤的损伤机制、治疗方案和治疗效果。方法对26例无骨折脱位型颈脊髓损伤进行回顾性分析，并根据不同特点采用保守治疗与手术治疗，观察治疗效果。结果随访12～15个月，26例神经功能均有明显改善，根据j0A评分标准,手术治疗组术后3、6、12个月评分高于保守组同时期评分。结论颈椎管狭窄是无骨折脱位型颈脊髓损伤的重要病理基础，外力是脊髓损伤的直接原因。选择正确手术方式的治疗效果优于保守组。
Objective To study the mechanisms, treatments and clinical effects of cervical spinal injury without fracture and dislocation. Methods Total 26 cases with cervical spinal injury without fracture and dislocation, which received conservative or surgical treatments based on different symptoms, were reviewed and analyzed. Results After follow-up periods of 12 to 15 months, 26 cases turned out for the best with improved neural function. In terms of the JOA criteria, 15 cases with surgical treatments scored higher than 11 cases with conservative treatments at 3 months, 6 months and 12 months after operation. Conclusion The cervical spinal canal stenosis is the main pathological basis of cervical spinal injury without fracture and dislocation, while the external force is the exciting cause. Compared with conservative treatments, accurate surgical treatments have advantage.
出处
《中国实用神经疾病杂志》
2008年第3期26-28,共3页
Chinese Journal of Practical Nervous Diseases
关键词
颈脊髓损伤
保守治疗
手术治疗
Cervical spinal injury
Conservative treatment
Surgical treatment
