手术时机的选择对治疗无骨折脱位型脊髓损伤患者的临床价值分析

Clinical Value Analysis of the Choice of Operation at Different Time for the Treatment of Patients with Spinal Cord Injury without Fracture Dislocation

目的分析手术时机的选择对治疗无骨折脱位型脊髓损伤患者的临床价值。方法选择我院2014年1月～2017年5月期间收治的40例无骨折脱位型脊髓损伤患者的临床资料作为研究对象,根据伤后不同手术时间分成对照组(22例)和观察组(18例)。对两组患者手术前后四肢神经功能改善情况进行比较。结果观察组治疗后各时段神经功能评分及神经功能改善率明显高于对照组(P<0.05)。结论患者伤后3～7天内进行手术治疗能更好的改善神经功能,可以防止或减少无骨折脱位型脊髓损伤患者发生继发性损害,促进脊髓功能的恢复。

Objective This study aimed to analyze the clinical value of choice of operation at different time for patients with spinal cord injury without fracture and dislocation.Methods A total of 40 patients with non-fracture and dislocation type spinal cord injury from January 2014 to May 2017 in our hospital were reviewed and divided into the control group(22patients)and the observation group(18patients).Results The nerve function score and improvement rate of the observation group were significantly higher than that of the control group(P<0.05).Conclusion the surgery can achieve the maximum improvement of neurological function within 3~7days after injury.