摘要
目的:分析无骨折脱位型颈脊髓损伤应用外科治疗的随诊结果。方法:收治无骨折脱位型颈脊髓损伤患者30例,按随机原则将脊髓损伤72小时内予以手术治疗15例为试验组;脊髓损伤2周后予以手术治15例为对照组。两组均属确诊病例且无相应并发症病例,观察两组手术前后及随诊JOA评分、远期出现并发症及加重现象的比率。结果:试验组远期疗效明显优越于对照组,且差异具有统计学意义(P<0.05)。结论:通过对试验组与对照组对比,得出结论尽早的对无骨折脱位型颈脊髓损伤进行外科手术治疗的远期疗效显著。
Objective：Analyze the follow - up result of surgical treatment of cervical spinal cord injury without fracture and dislocation. Method： 30 cases with surgical treatment from June 2007 to June 2012 in our hospital were chosen and randomly divided into experimental group with 15 cases who were given surgical treatment within 72 hours after spinal cord injury and control group with 15 cases who were given surgical treatment 1 week after spinal cord injury. All patients of both groups were diagnosed and without related complications. JOA scores of before and after surgery and follow - up, occurrence rates of complications and exacerbations in a long ternl of both groups were observed. Re- suit：the long - term effect of experimental group was obviously better than that of control group and the difference between them was statistically significant（ P 〈 0.05 ）. Conclusion ：Through comparison between experimental group and control group, we come to the conclusion that long - term effect of surgical treatment as early as possible for cervical spinal cord injury without fracture and dislocation is remarkable and it is worth being promoted and popularized vigorously in clinical work.
关键词
颈脊髓损伤
无骨折脱位
外科治疗
临床效果
Cervical Spinal Cord Injury
Without Fracture and Dislocation
Surgical Treatment
Clinical Effect
