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下颈椎损伤合并颈脊髓损伤的早期外科治疗

Early surgical treatment for lower cervical spine injuries combined with spinal cord injury
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摘要 回顾性分析36例下颈椎损伤合并颈脊髓损伤患者行手术治疗的临床资料,根据Allen分型指导手术治疗,其中前路11例,后路8例,前后路联合17例。患者术中无大血管、气管、食道、脊髓意外损伤发生,所有患者切口均I期愈合。术后ASIA分级均有不同程度提高(1~3级)。感觉及运动评分较术前均有明显增加( P<0.05)。完善术前检查、明确诊断、采取合理的手术方式、尽早手术及重视综合治疗,是取得良好疗效的关键。
出处 《创伤外科杂志》 2014年第3期267-268,共2页 Journal of Traumatic Surgery
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参考文献3

  • 1Allen BL Jr, Ferguson RL, Lehmann TR, et al. A mechanistic classifi- cation of closed, indirect fractures and dislocations of the lower cervi- cal spine[J]. Spine (Phila Pa 1976) ,1982,7(1 ) :1 -27.
  • 2Hamilton A,Webb JK. The role of anterior surgery for vertebral frac- tures with and without cord compression[ J]. Clin Orthop Relat Res, 1994, (300) :79 -89.
  • 3戴力扬,李海.下颈椎损伤的诊断与治疗[J].中华外科杂志,2007,45(6):396-401. 被引量:23

二级参考文献43

  • 1Heffeman DS,Schermer CR, Lu SW. What defines a distracting injury in cervical spine assessment? J Trauma, 2005,59 : 1396-1399.
  • 2Sengupta DK. Neglected spinal injuries. Clin Orthop, 2005,(431) :93-103.
  • 3Stiell IG, Clement CM, McKnight RD, et al. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med,2003 ,349 :2510-2518.
  • 4Gale SC,Gracias VH, Reilly PM,et al. The inefficiency of plain radiography to evaluate the cervical spine after blunt trauma. J Trauma, 2005,59:1121-1125.
  • 5Brohi K, Healy M, Fotheringham T, et al. Helical computed tomographic scanning for the evaluation of the cervical spine in the unconscious, intubated trauma patient. J Trauma, 2005,58 : 897-901.
  • 6McCulloch PT, France J, Jones DL, et al. Helical computed tomography alone compared with plain radiographs with adjunct computed tomography to evaluate the cervical spine after highenergy trauma. J Bone Joint Surg (Am) ,2005,87:2.388-2394.
  • 7Antevil JL, Sise MJ, Sack DI, et al. Spiral computed tomography for the initial evaluation of spine trauma: a new standard of care? J Trauma, 2006, 61:382-387.
  • 8Griffen MM, Frykberg ER, Kerwin AJ, et al. Radiographic clearance of blunt cervical spine injury: plain radiograph or computed tomography scan? J Trauma, 2003, 55:222-226.
  • 9Diaz JJ Jr, Gillman C, Morris JA Jr, et ai. Are five-vlew plain films of the cervical spine unreliable? A prospective evaluation in blunt trauma patients with altered mental status. J Trauma, 2003,55:658-663.
  • 10Padayaehee L, Cooper DJ, Irons S, et al. Cervical spine clearance in unconscious traumatic brain injury patients: dynamic flexionextension fluoroscopy versus computed tomography with threedimensional reconstruction. J Trauma, 2006, 60:341-345.

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