摘要
目的对创伤性脊髓损伤非手术治疗病例的临床特点进行分析,探讨脊髓损伤保守治疗的临床现状。方法回顾115例脊髓损伤非手术患者的临床资料,对脊髓损伤类型进行分类,分析年龄、性别、致伤因素、职业、救治时间、住院时间、合并伤以及脊髓损伤的程度等,并对预后进行评价。结果 115例患者中,颈脊髓损伤107例,无骨折脱位型颈脊髓损伤46例,合并脊髓损伤为主的全身多发伤29例。根据Frankel分级标准评定神经功能恢复情况,C级和D级的恢复好于A级和B级。结论本资料创伤性脊髓损伤患者多因经济等原因选择保守治疗,保守治疗的适应证应严格把握,了解合并伤对脊髓损伤后的功能恢复及并发症的预防有指导意义。
Objective To evaluate the clinical situation of spinal cord injury（SCI） with no surgical procedure and to analyze the clinical characteristics of trauma SCI with no surgical procedure.Methods A retrospective review was performed on 115 cases with SCI.The type of SCI,age,sex,causes of injury,profession,treatment time,length of stay,associated injuries,the degrees of SCI,and clinical outcome were determined.Results In the 115 patient,107 cases with cervical SCI,46 cases on cervical SCI in absence of fracture and dislocation,and 29 cases with SCI and multi-traumas.By Frankel classification to evaluate the restore of nerve function,the effect of the degree C and D was superior to that of A and B.Conclusion The indications of SCI with no surgical procedure should be strict,and understanding the characteristics of multiple traumas is helpful to recover nerve function,and also may be helpful to prevent complication.
出处
《宁夏医学杂志》
CAS
2010年第7期612-613,共2页
Ningxia Medical Journal
关键词
脊髓损伤
非手术治疗
Spinal Cord Injury
No surgical procedure
