摘要
目的探讨无骨折脱位型颈脊髓损伤的临床治疗及预后。方法回顾性分析59例无骨折脱位型颈脊髓损伤患者的临床资料,根据治疗方式、手术时机选择、早期大剂量应用甲基泼尼松龙(MP)分组,比较各组治疗前后1个月、3个月、12个月的JOA评分改善值。结果手术治疗组各时间段JOA评分改善值明显高于保守治疗组(P均<0.05)。此外,伤后1周内手术组和1周后手术组以及术前早期大剂量应用MP组与术前未早期大剂量应用MP组各时间段JOA评分改善值也有显著性差异(P均<0.05)。结论无骨折脱位型颈脊髓损伤早期大剂量应用MP治疗、并在早期行手术治疗可获得良好效果。
Objective It is to explore clinical treatment and prognosis for cervical spinal cord injury without fracture and dislocation. Methods 59 cases of cervical spinal cord injury without fracture and dislocation were retrospectively analyzed and divided into different group according to treatment, surgical timing, early application of high-dose methylprednisolone （MP）. Improve value of the JOA score before and 1 month, 3 months, 12 months after treatment in each group were compared. Results The improvement scores of JOA in every treatment time in the surgical group were obviously higher than that in conservative group （P〈0.05）. In addition, there were also significant differences in improvement of JOA score in every treatment time between operation group within one week after injury and operation group one week after injury, early high-dose application of MP group and not early high-dose application of MP group （P 〈 0.05）. Conclusion The treatment with early application of high-dose MP and early surgical operation has a good curative effect on cervical spinal cord injury without fracture and dislocation.
出处
《现代中西医结合杂志》
CAS
2010年第7期783-784,787,共3页
Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词
无骨折脱位型颈脊髓损伤
保守治疗
手术治疗
甲基泼尼松龙
cervical spinal cord injury without fracture and dislocation
conservative treatment
surgical treatment
methylprednisolone
作者简介
温健（1975-），男，主治医师，主要从事脊柱外科临床工作。
