| 无骨折脱位型急性外伤性颈髓中央综合征的治疗 |
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投稿时间：2008-09-26
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| 作者 | Author | 单位 | Address | E-Mail |
| 夏青 |
XIA Qing |
枣庄枣矿集团中心医院骨外科,山东 枣庄 277011 |
Department of Orthopaedics,the Central Hospital of Zaozhuang Coal Mining Group Co.,Ltd,Zaozhuang 277011,Shandong,China |
wiseqing@126.com |
| 魏振 |
WEI Zhen |
枣庄枣矿集团中心医院骨外科,山东 枣庄 277011 |
Department of Orthopaedics,the Central Hospital of Zaozhuang Coal Mining Group Co.,Ltd,Zaozhuang 277011,Shandong,China |
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| 江海良 |
JIANG Hai-liang |
枣庄枣矿集团中心医院骨外科,山东 枣庄 277011 |
Department of Orthopaedics,the Central Hospital of Zaozhuang Coal Mining Group Co.,Ltd,Zaozhuang 277011,Shandong,China |
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| 李利昕 |
LI Li-xin |
枣庄枣矿集团中心医院骨外科,山东 枣庄 277011 |
Department of Orthopaedics,the Central Hospital of Zaozhuang Coal Mining Group Co.,Ltd,Zaozhuang 277011,Shandong,China |
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| 王森 |
WANG Sen |
枣庄枣矿集团中心医院骨外科,山东 枣庄 277011 |
Department of Orthopaedics,the Central Hospital of Zaozhuang Coal Mining Group Co.,Ltd,Zaozhuang 277011,Shandong,China |
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| 冯涛 |
FENG Tao |
枣庄枣矿集团中心医院骨外科,山东 枣庄 277011 |
Department of Orthopaedics,the Central Hospital of Zaozhuang Coal Mining Group Co.,Ltd,Zaozhuang 277011,Shandong,China |
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| 贾静 |
JIA Jing |
枣庄枣矿集团中心医院骨外科,山东 枣庄 277011 |
Department of Orthopaedics,the Central Hospital of Zaozhuang Coal Mining Group Co.,Ltd,Zaozhuang 277011,Shandong,China |
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| 期刊信息：《中国骨伤》2009年，第22卷，第2期，第130-132页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：分析无骨折脱位型急性外伤性颈髓中央综合征的临床治疗疗效，探讨其治疗方法。
方法： 回顾性分析47例无骨折脱位型急性外伤性颈髓中央综合征患者的临床资料，男44例，女3例；年龄46～73岁，平均56.2岁。脊髓神经功能Frankel分级，B级30例，C级14例，D级3例。对于脊髓有明确的外在致压因素或损伤节段不稳的5例采用手术治疗，其中前路手术3例，后路手术2例，非手术治疗42例。对其致伤原因、致伤机制、影像学表现、神经功能损伤程度、治疗方法及临床疗效进行分析。
结果：6例失访，非手术治疗死亡2例。39例术后随访3～84个月，平均12个月。治疗后3个月内，非手术7例出现并发症，但两组患者后期均有不同程度的肢体神经痛。多数病例遗留手内在肌功能不同程度的损害。
结论：根据病情及影像学资料灵活选择治疗方案，保守和手术均可取得良好的治疗结果。 |
| 【关键词】脊髓损伤 中央综合征 颈椎 外科手术 |
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| Clinical treatment of acute traumatic central cervical spinal cord syndrome without fracture and dislocation |
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ABSTRACT
Objective: To analyze clinical characteristics and therapeutic efficacy of acute traumatic central cervical spinal-cord syndrome without fracture and dislocation,and to investigate its treatment methods.
Methods: Clinical data of 47 cases with acute traumatic central cervical spinal-cord syndrome without fracture and dislocation were retrospectively analyzed. There were 3 female and 44 male,with a mean age of 56.2 years(ranging from 46 to 73 years). According to Frankel classification,30 cases were grade B,14 cases were grade C and 3 cases were grade D. Forty-two cases were treated without operation,and 5 cases which had significant compression factors or segmental instability were treated with surgical treatment. Among them,3 cases were treated through anterior approach and 2 cases were treated through posterior approach. Causes of injuries, mechanisms of injuries,findings of imaging,functional impairment of nerve,methods of treatment,and therapeutic efficacy were analyzed.
Results: The average followed-up time was 12 months (ranging form 3 to 84 months),2 cases of non-operation were dead and 6 were loss. Three months after treatment,some complications occurrenced on 7 patients of non-operation. The majority bequeathed different degree impairment of intrinsic muscles of hands.
Conclusion: Reduction and fixation through the pedicle of fractured vertebra is an effective therapeutic options to treat the thoracolumbar burst fractures and desearved clinical study and expansion. |
| KEY WORDS Spinal cord injuries Central cord syndrome Cervical vertebrae Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 夏青,魏振,江海良,李利昕,王森,冯涛,贾静.无骨折脱位型急性外伤性颈髓中央综合征的治疗[J].中国骨伤,2009,22(2):130~132 |
| 英文格式: | XIA Qing,WEI Zhen,JIANG Hai-liang,LI Li-xin,WANG Sen,FENG Tao,JIA Jing.Clinical treatment of acute traumatic central cervical spinal cord syndrome without fracture and dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(2):130~132 |
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