ASIA脊髓损伤分类标准在颈髓损伤患者神经功能评定中的应用

Neurological evaluation of cervical spinal cord injury employing ASIA standards

目的:探讨ASIA标准在颈髓损伤患者神经功能评估中的意义。方法:应用ASIA标准对139例急性颈髓损伤患者的神经功能情况进行回顾性评估。结果:82例完全性脊髓损伤患者中5例逆转为不完全性损伤,77例无逆转者随访时ASIA感觉、运动评分有明显增加。57例不完全性颈髓损伤患者感觉、运动功能改善明显优于完全性损伤患者。结论:完全性颈髓损伤患者可能逆转为不完全性颈髓损伤,并且可有明显节段性神经功能恢复。在脊髓损伤神经功能评定中,ASIA感觉、运动评分具有重要意义。

Objective:To evaluate the neurological status in patients with cervical spinal cord injury(SCI) employing ASIA standards.Method:139 patients with acute cervical spinal cord injury were reviewed and their neurological deficits(motor and sensory) were evaluated retrospectively.Result:5 of 82 cases with complete SCI reversed into incomplete SCI,and other 77 cases demonstrated statistically significant segmental neurological improvement at follow-up.57 patients with incomplete SCI demonstrated better neurological improvement than complete SCI group at follow-up.Conclusion:Patients with complete SCI could demonstrate significant segmental neurological improvement and some of them may reverse into incomplete SCI.ASIA motor and sensory score is a significant scale in the neurological evaluation of SCI.