前路手术治疗颈髓损伤疗效观察.docVIP

前路手术治疗颈髓损伤疗效观察 　　[摘要]目的 探讨颈前路减压内固定手术治疗颈髓损伤的疗效。 方法 回顾性分析2008年8月～2012年9月进行治疗的58例颈髓损伤患者的临床资料，将行颈前路减压内固定手术治疗的30例颈髓损伤患者设立为观察组，其余28例行后路手术治疗的28例患者设立为对照组。 结果 所有患者经6～12个月随访，观察组患者术后ASIA评分较术前及对照组明显提高，组间及组内比较差异有统计学意义（P0.05）。 结论 颈前路减压内固定手术是治疗颈髓损伤的较好的治疗方法，值得广泛推广和应用。 　　[关键词] 颈髓损伤；前路手术；后路手术 　　[中图分类号] R653 [文献标识码] B [文章编号] 2095-0616（2013）15-207-02 　　Efficacy observation of anterior approach operation in treatment of cervical spinal cord injury 　　TAN Wei 　　Department of Orthopedics， Affiliated Baiyun Hospital of Guiyang Medical College， Guiyang 550058，China 　　[Abstract] Objective To investigate the efficacy of anterior cervical decompression internal fixation in the treatment of cervical spinal cord injury. Methods The clinical data of 58 patients with spinal cord injury treated between August 2008 to September 2012 were analyzed retrospectively. Thirty patients who had received anterior cervical decompression internal fixation treatment were assigned to the observation group and the other 28 patients who had received posterior surgical treatment were assigned to the control group. Results After 6 to 12 months of follow-up，the ASIA score of the observation group after the surgery was significantly higher than that before the surgery and that of the control group，with significant between-group and within-group differences （P0.05）. Conclusion Anterior cervical decompression internal fixation surgery is a good treatment method for spinal cord injury and worthy of wide promotion and application. 　　[Key words] Cervical spinal cord injury； Anterior surgery； Posterior surgery 　　颈髓损伤常见于颈椎骨折脱位，其中部分为无放射影像异常的颈髓损伤，以往常采用牵引，颈部制动等方法进行保守治疗，疗效欠佳[1]。保守治疗不能完全去除病因，而应积极采用手术才能及早去除病因，才能取得满意的治疗效果。颈脊髓损伤手术治疗可采用前路或后路手术治疗。本研究旨在探讨颈前路减压内固定手术治疗颈髓损伤的疗效，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　回顾性分析2011年8月～2012年9月进行治疗的58例颈髓损伤患者的临床资料，其中男37例，女21例，年龄最小22岁，年龄最大69岁，平均年龄（51.2±2.3）岁。致伤原因：交通事故伤所致 30例，高处坠落伤24例，重物压伤3例，其他1例；合并颅脑外伤21例，四肢骨折8例，内脏损伤并休克2例。入选的58例颈髓损伤患者中，将行颈前路减压内固定手术治疗的30例颈髓损伤患者设立为观察组，其余28例行后路手术治疗的28例患者设立为对照组，两组患者的