摘要
【目的】探讨无骨折脱位型颈髓损伤的病理基础、治疗方法的选择和治疗效果。【方法】根据26例无骨折脱位型颈髓损伤患者的MRI检查,按不同的特点分为四种类型,采用不同方法进行治疗。【结果】26例术后随访5个月至9年,平均3.9年。前路手术固定节段均获骨性融合,内固定物无松动、断裂,后路手术无再关门现象,术后MRI检查显示椎管容积扩大,颈髓受压缓解。2例术后脊髓功能无改善,其余患者均有不同程度恢复。【结论】无骨折脱位型颈脊髓损伤应尽早行MRI检查,以明确临床类型。对颈脊髓受压明显者,应尽早采用不类型的手术治疗,对无颈脊髓受压者采用大剂量甲基强的松龙等非手术治疗,亦具有较好的疗效。
[Objective]To explore the pathological basis, the selection of treatment method and operative result for cervical spinal cord injury without fracture or dislocation. [Methods] Different treatment methods were performed on 4 clinical kinds of 26 cervical spinal cord injury cases without fracture or dislocation based on their magnetic resonance imaging （MRI） results. [Results]Twenty six cases were followed up from 5 to 9 years （ average 3. 9 years）. All segments with anterior fixation attained solid fusion without loosening or breakage implants. No re-closed door was found in the posterior open-door laminoplasty. The postoperative MRI showed that the cervical spine canal was expanded with spinal cord decompression. The myeloid function recovered at different extents in all cases except for two that had no improvement. [Conclusion] Early MRI examination should be applied in order to judge the injury type, Early different types of operative treatment should be used in cases with obvious spinal cord compression. Nonoperative treatment methods, such as administration of high dose of methylprednisolone, might achieve better results in cases without obvious spinal cord compression.
出处
《医学临床研究》
CAS
2007年第12期2099-2101,共3页
Journal of Clinical Research
关键词
脊髓损伤/治疗
颈椎/损伤
Spinal cord injuries/TH
cervical vertebrae/IN
