早期手术治疗脊髓损伤中央综合征的临床研究
急性脊髓损伤；,脊髓中央综合征；,外科学,,急性脊髓损伤；脊髓中央综合征；外科学,1临床资料,2讨论
【摘要】 目的 总结早期手术治疗脊髓损伤中央综合征的临床效果和经验，以及早期手术治疗的积极意义。方法 对以手术治疗的颈脊髓急性损伤患者中确诊为中央综合征的病例资料为治疗组，与选择非手术治疗的对照组病例进行对比分析，找出影响疗效的可能原因。结果 治疗组与对照组进行对比发现，虽然治愈率并无显著性差异(P>005)，但总有效率(治愈+良好+有效)对比具有显著性差异(P<005)。结论 对于脊髓损伤的中央综合征患者，早期进行椎管减压、血肿清除等手术干预治疗可有效减轻脊髓水肿和进行性损伤，缩短病理性炎症反应过程，促进脊髓功能恢复，降低病残率。【关键词】 急性脊髓损伤；脊髓中央综合征；外科学
Early surgical treatment for acute cervical spinal central cord injury syndrome
LI Mengjun JI Xubin CHU Xiucheng et al
Department of Orthopedic，Dongying People's Hospital,Dongying 257091
【Abstract】 Objective To sum up the experience of local spinal cord decompression,hematostation,evacuation of hematomaa for the acute central cord syndrome.To find a possibly effectvie way to enhance the cure rate,and decrease paralyzes rate.Methods Analyze the followingup data of all the cases with central cord syndrome (CCS),who had been treated from Jan.1998 to Jan.2006,and compare the difference between the control group that with traditional method and the treating group with early local spinal cord decompression,evacuation of hematoma and hematostation. To find out the possible result and reason that affect curative effect.Results There in no significant difference in syingomyelia rate between the decompression group and traditional treatment group (P>005).Although no significant difference was found in cure rate (P>005) ......
您现在查看是摘要页，全文长 11876 字符。