颈脊髓中央损伤综合征37例手术治疗效果分析

Effective analysis of surgical treatment on 37 cases of central cervical spinal cord injury syndrome

目的探讨颈脊髓中央损伤综合征患者的手术治疗效果,总结临床治疗经验。方法收集2000年1月至2010年2月37例颈脊髓中央损伤综合征患者的临床资料及治疗后6个月的随访资料,以美国脊髓损伤协会(ASIA)运动评分及脊髓损伤步行能力评定(WISCIⅡ)评价临床治疗效果,并进行统计学分析。结果 37例患者ASIA运动评分术前平均为(58.7±17.4)分,术后6个月平均为(84.4±13.4)分,二者比较,差异有统计学意义(P<0.05)。所有患者中治疗无效3例,有效10例,优良19例,治愈5例,优良率为64.9%。结论大部分颈脊髓中央损伤综合征患者经手术治疗可取得较好的临床疗效,手术干预可明显促进脊髓功能恢复。

Objective To explore the effect of operative treatment on patients with central cervical spinal cord injury syndrome, and to summarize the experience of clinical treatment. Methods Clinical data and follow-up data 6 months after treat- ment of 37 patients with central cervical spinal cord injury syndrome from January 2000 to February 2010 were collected. Accord- ing to the American Spimallnjury Association（ASIA） motor score and the Walking Index for Spinal Cord Injury ]I （WISCI I1 ） ,to evaluate the clinical therapeutic effect, and statistical analysis was conducted on the results. Results The average ASIA motor score of the 37 patients was 58.7＋17.4, while the average score 6 months after operation was 84.4~13.4,and the difference be tween before and after operation had statistical significance （P〈0.05）. Among all the patients, 3 cases were invalid, 10 cases were effective, 19 cases were excellent and 5 cases were cured with the good rate of 64.9%. Conclusion Most of the patients with central cervical spinal cord injury syndrome can obtain preferable clinical efficacy by surgery, and the operative operation can pro- mote functional recovery of spinal cord significantly.