慢性颈脊髓压迫症的围手术期处理

The perioperative management of cervical spinal cord chronic compression

目的探讨慢性颈脊髓压迫症的围手术期处理方法.方法对117例颈脊髓压迫症的术前处理、手术方法及术中干预措施、术后康复进行综合分析和随访.结果本组117例术后随访3～28月(11.43±6.25)月,术前按JOA评分法平均(10.34±1.26)分,术后平均(15.43±1.66)分.神经功能恢复率76.43%、加重3例、并发症24例.结论提高对整个围手术期处理重要性的认识,采取综合措施才能更好地降低并发症、最大限度地恢复神经功能.

Objective To explore the perioperative management of cervical spinal cord chronic compression so as to elevate the curative effect and improve the nerve functions. Methods To analyse the pre-operative treatment, operative methods, intervention study and post-operative treatment with 117 cases of cervical spinal cord chronic compression. Results All the cases were taken average （ 11.43 ± 6. 25 ） months of follow-up. The functional recovery rate chalked up 76. 43%. 3 cases aggravation and 24 complications. Conclusion We should elevate the cognition of the importance of the pre-operative and post-operative treatment, and adopt synthetic measure to cut down as far as possibly the complications and recover the member＇ s functions.