无骨折脱位的颈脊髓损伤的手术治疗

目的探讨无骨折脱位的颈髓损伤的手术治疗效果。方法45例无骨折脱位型颈髓损伤患者，均行早期减压手术治疗。对比治疗前后JOA评分变化。结果手术治疗优良率82．2％。术后JOA平均评分（9．31±1．86）明显高于术前（5．24±1．52），差异有统计学意义（P〈0．01）。结论对无骨折脱位型脊髓损伤，及时正确的诊断，正确把握手术时机，积极外科干预可取得较好的lf缶床效果。

Surgical treatment of cervical spinal cord injury without fracture and dislocation

Objective To explore the effect of surgical treatment of cervical spinal cord injury without fracture and dislocation. Methods 45 cases of cervical spinal cord injury without fracture and dislocation were treated with early decompression surgery. The changes in JOA score before and after treatment were compared. Results The excellent rate of surgical treatment reached 82.2%. The average JOA score after surgery （9.31 ± 1.86） was significantly higher than that before surgery （5.24 ± 1.52）, with statistical significance（P 〈 0.01）. Conclusion Prompt and correct diagnosis, propoer grasp of the operation time and positive surgical intervention can achieve better clinical effect for spinal cord injury without fracture and dislocation.