手术治疗急性无骨折脱位型颈脊髓损伤的疗效观察

Observing the Surgery Effect of Acute Cervical Spinal Cord Injury without Fracture and Dislocation

目的:探讨手术治疗急性无骨折脱位型颈脊髓损伤(CSCIWFD)的疗效及安全性。方法:选取2006年1月至2009年10月间在我院住院并接受手术治疗及非手术治疗的CSCIWFD患者各32例,并设为手术组和非手术组,随访观察两组治疗效果。结果:治疗后第3个月、第6个月、第9个月手术组患者JOA评分明显高于非手术组,两者比较差异具有统计学意义(P<0.05)。手术组总有效率为96.88%,非手术组为71.88%,两者比较差异具有统计学意义(P<0.05)。且通过随访观察两组均未见明显并发症出现。结论:手术治疗无骨折脱位型颈脊髓损伤能有效地提高治愈率,并能改善患者的预后,临床应争取尽早应用。

Objective：To investigate the effect and safety of acute cervical spinal cord injury without fracture and dislocation by surgery.Method：32 cases with acute cervical spinal cord injury without fracture and dislocation in our hospital received operation from Jan.in 2008 to Oct.in 2009 were selected respectively,and were setted into the operation group and the non-operation group.Result：The scores of operation group in third,sixth and ninth months were higher than those in non-operation group,and there was significant difference in them respectively（P〈0.05）.The total effective rate was 96.88% in operation group and 71.88% in non-operation group,and there was significant difference in them（P〈0.05）.There＇s no obvious complications taking place by following-up.Conclusion：The operation in treating acute cervical spinal cord injury without fracture and dislocation can boost the curing rate and improve the prognosis,so they are worth being used early in clinic.