摘要
共收治无骨折脱位型急性颈脊髓损伤病人44例。行MRI检查的18例影像显示:脊髓损伤信号89%位于间盘水平,且存在间盘损伤。分析表明:两种机制造成了脊髓的损伤,一是脊髓受到了一过性挫伤,二是脊髓受到突出间盘的压迫。根据损伤机制及治疗的需要,进一步将本病分为两型,一型为一过挫伤型,二型为间盘突出型。前者需保守治疗,后者应行手术治疗。对34例非手术治疗病人肌力恢复的半定量评价,为本病进一步手术治疗的疗效判定提供了参照资料。
AbstractEighteen of the forty-four patients with acutecervical spinal cord injury without fracture anddislocation underwent MRI study.The results revealedthat 89%of the spinal cord injury signals appeared inthe disk level.This suggested that, the spinal cordinjuries occurred by means of either one of the twomechanisms:transient contusion or compression by theherniated disk to the spinal cord.On the basis of themechanism of injury,and the demand of themanagement,the condition was classified into twotypes:the transient contusion type and the diskherniation type。The former needs conservativetreatment and the later should be operated upon。Asemi-quantitative analysis of the myodynamic recoveryfor 34 patients given conservative treatment provideddata of reference for the therapeutic evaluation ofoperative treatment。
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1995年第9期588-590,共3页
Chinese Journal of Orthopaedics