| 儿童无骨折脱位型胸腰髓损伤的临床分析 |
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| 引用本文： | 郑稼,田书建,李文辉,罗建平,刘继军. 儿童无骨折脱位型胸腰髓损伤的临床分析[J]. 中国矫形外科杂志, 2000, 7(8): 768-769 |
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| 作者姓名： | 郑稼 田书建 李文辉 罗建平 刘继军 |
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| 作者单位： | 河南省人民医院骨科研究所,郑州,450003 |
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| 摘 要： | 目的：通过对６例儿童无骨折脱位型胸腰段脊髓损伤的病例分析，进一步认识本病。方法：本组６例全部为胸腰段脊髓损伤。其中不完全脊髓损伤５例，完全性脊髓损伤１例，根据Ｆｒａｎｋｅｌ脊髓损伤分类法：Ａ级１例，Ｂ级２例，Ｃ级３例。保守治疗５例，手术治疗１例。结果：经６个月￣９年１０个月随访，４例完全恢复，１例参照Ｆｒａｎｋａｌ分级法，半年后由入院时的Ｂ级恢复至Ｅ级，１例完全性脊髓损伤病儿无恢复。结论：如何治疗
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| 关 键 词： | 儿童 脊髓 脊柱损伤 诊断 X线片 CT |
Clinical Analysis of Thoracolumbar Spinal Cord Injury without Fracture and Dislocation in Children |
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| ZHENG Jia,TIAN Shu jian,LI Wen hui,et al.. Clinical Analysis of Thoracolumbar Spinal Cord Injury without Fracture and Dislocation in Children[J]. Orthopedic Journal of China, 2000, 7(8): 768-769 |
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| Authors: | ZHENG Jia TIAN Shu jian LI Wen hui et al. |
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| Affiliation: | ZHENG Jia,TIAN Shu jian,LI Wen hui,et al. Orthopedic Institute,Henan Provincial People's Hospital,Zhengzhou,450003. |
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| Abstract: | Objective: 6 cases of thoracolumbar spinal cord injury without fracture and dislocation in children were analysed for further research the mechanism and clinical therapy. Method: All 6 cases were thoracolumbar spinal cord injury. The type of spinal cord injury were classified as complete injury in 5, incomplete injury in 1.1 case was grade A, 2 cases were grade B, 3 cases were grade C according to Frankel. Conservative therapy in 5, Operative in 1. Results: The time of followed up from 6 months to 9 years and 10 months. 4 cases recovered completely. 1 case was inproved from grade B to grade E 6 months later. 1 complete injury child was not recovered. Conclusion: The result is satisfied through early correct therapy. Spinal cord injury patients should have MRI examination if their X ray or CT display normally to avoid delaying therapy. |
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| Keywords: | Child Spinal Cord Spinal Injuries |
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