颈胸段早期放射性脊髓炎高压氧综合治疗分析

Hyperbaric oxygen treatment for early radiation myelitis in cervicothoracic spinal cord

目的探讨高压氧综合治疗放射性脊髓炎的临床疗效和可能机制。方法采用高压氧治疗放射性脊髓炎12例,与采用常规方法治疗的10例患者对照研究。结果采用和不采用高压氧治疗的有效率分别为91.67%和60%。脊髓接受放射剂量与高压氧治疗疗效无明显关系。2个疗程以上达到治愈机会增加。出现症状后尽快使用高压氧治疗可提高治愈机会。结论高压氧治疗早期放射性脊髓炎是有效的治疗方法之一。

Objective To investigate the clinical application and machanism of hyperbaric oxygen treatment for the early radiation myelitis. Methods Comparative study was made in 12 cases of early radiation myelitis with hyperbaric oxygen treatment and 10 cases with routine treament. Results Treatment effective rates with and without hyperbaric oxygen treatment were 91.67% and 60 % respectively. No close relationship existed between radiation doses and results of hyperbaric oxygen treament. There was higher probability of cure rate when two courses of hyperbaric oxygen treatment were made. The higher probability of cure rate abtained when earlier using hyperbaric oxygen treatment. Conclusion Hyperbaric oxygen treatment is one of the effective treatment methods for the early radiation myelitis.