| 28例无骨折脱位型颈髓损伤外科手术治疗 |
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| 引用本文： | 唐运鹏,梁博伟,谢湘涛,胡朝辉,李龙. 28例无骨折脱位型颈髓损伤外科手术治疗[J]. 中国现代医学杂志, 2008, 18(4): 499-500,503 |
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| 作者姓名： | 唐运鹏 梁博伟 谢湘涛 胡朝辉 李龙 |
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| 作者单位： | 广西壮族自治区柳州市人民医院,骨科,广西,柳州,545001 |
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| 摘 要： | 目的探讨无骨折脱位型颈髓损伤手术治疗的效果。方法对1995年1月-2005年12月该院28例经手术治疗的无骨折脱位型颈髓损伤患者的临床资料进行回顾性分析，根据其临床表现及其影像学表现的特点选择手术入路及减压手段。结果手术的有效率达90％。大部份病例的脊髓功能均有明显改善。结论无骨折脱位型颈髓损伤的治疗应首选手术治疗。选择合理的手术入路，彻底的椎管减压可获得良好的治疗效果。
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| 关 键 词： | 颈椎 脊髓损伤 椎管减压 无骨折脱位型 颈髓损伤 科手术治疗 cases dislocation fracture spinal cord injury cervical treatment 治疗效果 椎管减压 治疗应 改善 脊髓功能 病例 效率 结果 手段 手术入路 选择 |
| 文章编号： | 1005-8982（2008）04-0499-02 |
| 收稿时间： | 2007-08-12 |
| 修稿时间： | 2007-08-12 |
Operative treatment of cervical spinal cord injury without fracture or dislocation of 28 cases |
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| TANG Yun-peng,LIANG Bo-wei,XIE Xiang-tao,HU Zhao-hui,LI Long. Operative treatment of cervical spinal cord injury without fracture or dislocation of 28 cases[J]. China Journal of Modern Medicine, 2008, 18(4): 499-500,503 |
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| Authors: | TANG Yun-peng LIANG Bo-wei XIE Xiang-tao HU Zhao-hui LI Long |
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| Abstract: | [Objective] To explore the operative results of the cervical spinal cord injury without fracture or dislocation. [Methods] A retrospective study was performed on 28 cases of cervical spinal cord injury without fracture or dislocation from February,1995 to December, 2005. Different approaches and times of operation were choosed by clinical appearance and imaging features of the cases. [Results] The operation effectiveness reached 90% in all cases. The spinal cord fuction significantly recovered in most of the cases. [Conclusions] Operation is the preference treatment on cervical spinal cord injury without fracture or dislocation. An appropriate approch of operation and a complete decompression of spinal canal can offer a good result. |
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| Keywords: | cervical vertebrae spinal cord injuries spinal canal decompression |
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