15例无骨折脱位型急性颈髓损伤的疗效量化评定及治疗选择

A Quantitative Evaluation of Curative Effect and Choice of Treatment for 15 Cases of Acute Cervical Cord Injuries Without Fracture and Dislocation

采用肌力和截瘫指数的改善度，以及截瘫恢复率，对１５例无骨折脱位型急性颈髓损伤患者的治疗效果进行量化评定。结果显示，经非手术治疗后，截瘫完全恢复７例，占４６．７％，部分恢复５例，占３３．３％，无恢复３例，占２０％；肌力和截瘫指数的改善度具有显著性意义（Ｐ＜０．０１）。无恢复的３例中有１例经手术治疗后截瘫大部分恢复。表明：非手术治疗无骨折脱位型急性颈髓损伤大多数有效，手术治疗适合于其中一部分患者。

Through musle record and index of paraplegia and their improvement degree, and paraplegia recovery rate, curative effect of 15 cases of acute cervical cord injuries without fracture and dislocation were evaluated quantitatively The results of non operative cases revealed that 46 7% (7/15) of which obtained complete recover, 33 3% (5/15) were partially recovered and others (3/15) kept original condition One of which inffective by non surgery treatment obtained a great deal of recover after surgery This displayed that most of which were effective with non surgery treatment and surgery treatment was suitable for some cases.