成人无骨折脱位型颈脊髓损伤不同治疗方法疗效对比分析

目的探讨采用手术治疗和采用保守治疗对成人颈椎无骨折脱位型颈脊髓损伤的效果及其与神经功能变化之间的关系。方法75例成人颈椎无骨折脱位型脊髓损伤患者分为三组，分组以采取不同的治疗措施为依据．采用ASIA标准运动，感觉评分及其残损分级对所有的研究对象进行评定。结果与人院时的运动评分比较，各组的末次随访时的评分均有显著增加（P〈0．01）。两手术组的运动评分及其针刺觉评分在入院和末次随访时均明显低于保守治疗组（P〈0．05）。结论临床上对于成人颈椎无骨折脱位型脊髓损伤患者无论采用手术治疗方法还是采用保守治疗方法在改善神经功能程度上均为有限，而对预后起决定作用则是外伤时脊髓损害的程度。

Adults without fracture or dislocation of cervical spinal cord injury therapy effectiveness analysis of different

Objective To explore the effect and changes in relationships of surgery and conservative treatment for adult cervical spinal cord injury without fracture or dislocation and neurological.Methods All of 75 cases of adult cervical spinal cord injury without fracture or dislocation were divided into three groups,ASIA standard classification of motor,sensory scores and damaging the object of study for all levels to score.Results Compared with the score of admission,the score of each group on the last follow-up were significantly increased(P<0.01).Sports scores and pinprick scores of two surgical groups on admission and last follow-up were significantly lower than those of the conservative group(P<0.05).Conclusion For adult cervical spinal cord injury without fracture or dislocation regardless of surgical treatment or conservative treatment for patients with neurological their degree of improvement are limited.Play a decisive role for the prognosis is the extent of the damage spinal cord trauma.