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成人无骨折脱位型颈髓损伤的治疗(附17例临床报告)
引用本文:董建文,孙沛智,杨振国,王磊,王文波,刘文斌.成人无骨折脱位型颈髓损伤的治疗(附17例临床报告)[J].中国中医骨伤科杂志,2011(2):35-37.
作者姓名:董建文  孙沛智  杨振国  王磊  王文波  刘文斌
作者单位:山东中医药大学第二附属医院骨科;
摘    要:目的:探讨无骨折脱位型颈髓损伤的临床特点。方法:收治17例无骨折脱位型颈髓损伤,平均年龄48.2岁。随访时间3~12个月。记录所有病例入院时和随访时的ASIA评分,分析颈椎MRI的表现,手术治疗组11例病人,无手术相关并发症发生。结果:神经功能均有不同程度改善,全组病人治疗前后ASIA评分均有改善,其中,运动评分治疗前后比较差异有统计学意义(P<0.05)。结论:伤后颈椎MRI可有效减少漏诊,并可提供治疗方案,手术治疗有助于提高病人治疗效果。

关 键 词:颈脊髓损伤  无骨折与脱位  MRI  治疗效果

The Treatment of Cervical Spinal Cord Injury without Fracture and Dislocation
DONG Jianwen SUN Peizhi YANG Zhenguo WANG Lei WANG Wenbo LIU Wenbin.The Treatment of Cervical Spinal Cord Injury without Fracture and Dislocation[J].Chinese Journal of Traditional Medical Traumatology & Orthopeics,2011(2):35-37.
Authors:DONG Jianwen SUN Peizhi YANG Zhenguo WANG Lei WANG Wenbo LIU Wenbin
Institution:DONG Jianwen1 SUN Peizhi1 YANG Zhenguo1 WANG Lei1 WANG Wenbo1 LIU Wenbin11Department of Orthopedics,the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Shandong 250001,China
Abstract:Objective:To evaluate clinical features of cervical spinal cord injury without fracture and dislocation.Methods:A total of 17 cases of cervical spinal cord injury without fracture and dislocation were enrolled,with the average age 48.2 years.The follow-up was from 3 to 12 months.The ASIA scores of every case were recorded on admission and follow-up,respectively.Analysis of MRI was also performed.Eleven patients received surgical treatment,and there were no procedure-related complications.Results:Nerve funct...
Keywords:Cervical spinal cord injury  Non-fracture and dislocation  Magnetic resonance imaging  Therapeutic efficacy  
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