摘要
过伸性损伤是一种常见的特殊类型颈脊髓损伤,但在临床面对此类疾病时,仍需进一步认识以下问题:为什么看似轻微的颈椎过伸性外力会导致严重脊髓损伤?为什么过伸性颈脊髓损伤会有如此多样的临床表现?为什么过伸性颈脊髓损伤患者的手部内在肌功能恢复最差甚至不能恢复?如何区别过伸性颈脊髓损伤与颈椎“挥鞭样”损伤?为什么过伸性颈脊髓损伤需外科干预?笔者将从以上这些临床常见现象进行探讨,帮助临床医师加强对该疾病的认识,为临床诊断和治疗提供帮助。
Cervical hyperextension injury is a common special type of cervical spinal cord injury.While several problems should be further understood in clinical practice.Why do some seemly slight hyperextension forces cause such severe cervical spinal cord injury?Why do the cervical spinal cord hyperextension injuries show various and different manifestations?Why does the intrinsic muscle function of the hand of patients with hyperextension cervical spinal cord injury recover slowly or even fail to recover?How can we tell the differences between injury mechanisms of hyperextension and whiplash injury of cervical spine?Why is the surgical intervention always necessary to be performed for cervical hyperextension injury?The author discusses the above problems encountered by clinicians to strengthen the understanding of the disease,and hopes to provide some information for the clinical diagnosis and treatment.
作者
贾连顺
Jia Lianshun(Department of Orthopedics,Changzheng Hospital,Naval Medical University,Shanghai 200003,China)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2020年第10期880-884,共5页
Chinese Journal of Trauma
关键词
颈椎
脊髓损伤
颈椎飞鞭损伤
过伸性损伤
Cervical vertebrae
Spinal cord injuries
Whiplash injuries
Hypertension injuries
