| 未发现压迫的创伤性非一过性脊髓损伤 |
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Received:April 05, 1996
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| 期刊信息：《中国骨伤》1997年10卷，第3期，第3-5页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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| 未发现压迫原因的非一过性脊髓损伤在脊髓创伤中较为少见。作者1984年至1994年间对423例脊髓损伤中22例此类损伤作随访分析,对其诊断、治疗及可能发生的原因进行探讨。认为：(1)MRI能显示脊髓伤后的早期变化,对预后及治疗有重要的指导意义。(2)除了过伸损伤,其它损伤机制也能导致此类损害。(3)脊髓血管损伤、出血、髓内代谢产物沉积在这类损伤产生过程中占重要地位。(4)非手术治疗与单纯椎管减压术疗效比较无意义,而借助手术显微镜的髓内外联合减压术对该类损伤的恢复有一定帮助,即使完全性脊髓损伤亦不能轻易放弃积极治疗。 |
| [关键词]:脊髓损伤 无压迫 核磁共振 髓内外减压 代谢产物 |
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| Traumatic Intransient Spinal Cord Damage without Compression |
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| Abstract:The intransient spinal cord damage without compression is seldom occurred in spinal cord trauma.22 cases with such damage,out of 423 spinal cord injury cases were followed up and their diagnosis. treatment, and probable etiology were analysed from 1984 to 1994. (1)MRI can reveal the early changes of spinal cord injury and it is important for estimating the prognosis and determining the treatment;(2) Such damage can be
induced by hyperextension injury and other mechanism; (3) Vascular injury, hemorrhage. and intramedullary deposit of metabolic product are playing important roles in the process of such damage;(4)There is no significant difference of therapeutic effect between non-operative
treatment and simple spinal canal decompression. The combination of intramedullary and extramedullary decompression under operating microscope is advantageous to the recovery of such damage. The activetreatment could not be abandoned,even in the complete spinal cord damage. |
| KEYWORDS:Spinal cord damage MRI Intramedullary and extramedullary decompression Metabosic product |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵凯,徐荣明,张剑.未发现压迫的创伤性非一过性脊髓损伤[J].中国骨伤,1997,10(3):3~5 |
| 英文格式: | Zhao Kai,Xu Rongming,Zhang Jian.Traumatic Intransient Spinal Cord Damage without Compression[J].zhongguo gu shang / China J Orthop Trauma ,1997,10(3):3~5 |
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