高压氧联合颈前路减压治疗早期外伤性颈髓损伤

Hyperbaric oxygen and cervical spinal locking plate through anterior approach in traumatic cervical-spinal injury

[目的]探讨高压氧联合颈前路减压钢板固定对于早期外伤性颈髓损伤的治疗疗效。[方法]115例患者设治疗组(HBO+ACSLP)、对照组1(ACSLP)、对照组2(HBO),分别治疗然后进行观察治疗效果,总结各组预后。其中HBO在伤后或术后平均4.3 d接受3个疗程共30 d治疗。ACSLP平均在伤后4.75 d采用颈前路减压带锁钢板固定法接受治疗。[结果]治疗组显效率92.1%;对照组1显效率72.2%;对照组2显效率36.6%。治疗组优于对照组1(P1<0.05))和对照组2(P2<0.01),差别有显著意义(P<0.05)。[结论]HBO+ACSLP治疗早期外伤性颈髓损伤较单纯ACSLP及HBO治疗有更好的疗效。

[ Objective ] To explore the applications of treating traumatic cervical-spinal injury patients with hyperbaric oxygen and cervical vertebral canal decompression through anterior approach. [ Method] A total of 115 cases were divided into 3 groups in random. The therapy group was treated with hyperbaric oxygen and cervical spinal locking plate. One control group was treated with decompression armor plates （ control 1 ）. The other control group was treated with hyperbaric oxygen （ control 2 ）. And the control 2 was treated with hyperbaric oxygen for 30 days after injury or surgical operation. The control 1 was treated with decompression armor plates after injury. The average of post-traumatime control 2 was 4. 3 days and the average post-traumatime of control 1 was 4. 75 days. The effect was observed after treatment. [Result]The rate of apparent effect in therapy group was 92. 1% , while that of control 1 and control 2 was 72. 2% and 36.6%. Therapy group excelled control groups （ P 〈 0. 05 P2 〈 0.01 ） . The difference had statistics meanings. [ Conclusion] The treatment of hyperbaric oxygen associating with cervical spinal locking plate through anterior approach has sure curative effect.