摘要
目的探讨急性脊髓损伤后在不同时间点行手术减压对患者神经功能恢复的影响。方法回顾2005年1月-2009年12月收治的胸椎骨折合并脊髓不完全损伤的89例，按照手术减压时限分为3组：A组，伤后24h内手术减压（25例）；B组，伤后1～3d内手术减压（47例）；C组，伤后3—7d内手术减压（17例）。根据ASIA残损分级比较术前和术后1年的神经功能情况，比较3组的神经功能恢复情况，分析不同的减压时间疗效有无统计学差异。结果治疗前3组的ASIA残损分级，差异无统计学意义。治疗后3组ASIA残损分级较治疗前提高，A组高于B组和C组（P〈0．05），B组高于C组（P〈0．05）。结论脊髓不完全损伤后手术减压可以改善神经功能，且手术越早，神经功能恢复越好。
Objective To investigate the effect of surgical decompression at different time points on the recovery of neurological function in patients after acute spinal cord injury. Methods All of 89 patients with thoracic vertebral fracture combined with incomplete spinal cord injury patients admitted between January 2005 and December 2009 were reviewed. In accordance with the surgical decompression time limits, the patients were divided into three groups： group A,24 hours after injury, surgical decompression （25 cases）;group B, 1-3 d after injury, surgical decompression（47 cases） ; group C, 3-7 days after injury, surgical decompression （17 eases）.According to ASIA impairment scale,the nerve function before and 1 year after operation were compared among the three groups of patients. The efficacy of decompression time was analyzed. Results There were no significant difference in ASIA impairment scale among the three group patients before treatment. The ASIA impair- ment scale of three groups improved after treatment the scale of patients in group A was higher than group B and C（P 〈0.05） while the scale in patients of group B was higher than group C （P 〈0.05）.Conclusion Surgical decompression can improve neurological function in patients with incomplete spinal cord injury. The sooner the surgery is performed, the better the recov- ery of neurological function.
出处
《中国骨与关节损伤杂志》
2012年第7期577-579,共3页
Chinese Journal of Bone and Joint Injury
基金
国家自然科学基金资助面上项目(81150020)
关键词
脊髓损伤
手术减压
ASIA残损分级
Spinal cord injury
Surgical decompression
ASIA impairment scale
