摘要
目的探讨脊柱手术并发脊髓不完全损伤患者的临床治疗以及预后,为临床治疗提供参考。方法 2011年6月—2013年1月我院对10例脊柱手术后并发不完全损伤患者进行了分析研究,患者术后均出现了脊髓不完全损伤症状,使用甲基强的松龙冲击治疗,并且使用肢体功能锻炼,术前、术后3个月为患者提供了JOA评分以及ASIA等级对比。结果全部患者术前以及术后3个月的JOA评分对比差异无统计学意义(P>0.05),术后患者的ASIA评分比术前低,为患者提供3个月治疗,其脊髓功能ASIA分级得到了较大的改善,和术前状态比较接近。结论脊柱手术合并脊髓不完全损伤的程度比较轻,及时的采取术后治疗以及功能锻炼,患者的脊髓功能能够得到恢复。
Objective To investigate the clinical treatment and prognosis of spinal cord injury in spinal surgery, and to provide reference for clinical treatment. Methods From June 2011 to January 2013, 10 patients with incomplete injury after spinal surgery were analyzed and studied. The symptoms of incomplete spinal cord injury occurred after the operation, and the use of methylprednisolone pulse therapy. And use physical exercises, preoperative and postoperative three months for patients with JOA score and ASIA grade were compared. Results There were no statistically significant differences in JOA scores between the preoperative and postoperative 3 months（P〉0.05）, The ASIA score of the patients after operation was lower than that before the operation, and the patients were treated for three months. The ASIA of spinal cord function improved greatly, and it was close to the preoperative condition. Conclusion Spinal surgery combined with incomplete spinal cord injury is mild, timely postoperative treatment and functional exercise can restore the spinal cord function of the patients.
出处
《中国卫生标准管理》
2017年第13期68-69,共2页
China Health Standard Management
关键词
脊柱手术
脊髓不完全损伤
术后治疗
spinal surgery
incomplete spinal cord injury
postoperative treatment
