颈髓挥鞭样损伤的诊治

Diagnosis and Treatment for Whiplash Injuries of Cervical Spinal Cord

目的 :探讨颈髓挥鞭样损伤的诊治。方法 :对 71例颈髓挥鞭样损伤伴急性颈椎间盘突出症患者的手术疗效作随访 ,其中绝大部分为信访。随访时间为 4～ 13 2个月 (平均 5 5 4个月 )。所有病人手术前后作颈椎MRI检查。结果 :手术优良率为 85 92 %。手术有效率为 91 5 5 %。结论 :颈椎MRI对诊断此病有重要价值。对保守治疗效果不佳者 。

Aim:To study the diagnosis and treatment of whiplash injuries of cervical spinal cord. Methods:Seventy one patients with whiplash injuries of cervical spinal cord accompanied by acute traumatic cervical disc herniation had been followed up for their operative results. For most of them the follow up survery was by questionnaire. The average period of follow up was 55.4 months (4～132 months). Magnetic resonance imaging (MRI) for cervical spine was performed on all patients before and after surgery. Results:The follow up showed that the excellent and good results were 85.92% and the rate of efficacy was 91.55%.Conclusion:MRI is valuable for the diagnosis of acute cervical disc herniation. The anterior surgery is a good choice if the result of conservative treatment is not good.