CAJ | 학술논문

目的探讨无骨折脱位型颈脊髓损伤的治疗方法以及手术时机与临床效果的关系.方法回顾性分析非手术与手术治疗的107例无骨折脱位型颈脊髓损伤患者的疗效.对手术治疗的39例患者,根据手术时间分为早期手术组12例(受伤3d内手术)和晚期手术组27例(受伤3d后手术),分析不同手术时机对临床效果的影响.结果保守治疗患者脊髓功能恢复程度低于手术治疗者(P＜0.05).早期手术组较延期手术组同期神经功能改善明显(P＜0.05).结论无骨折脱位型颈脊髓损伤患者应早期手术治疗.
목적 탐토무골절탈위형경척수손상적치료방법이급수술시궤여림상효과적관계.방법 회고성분석비수술여수술치료적107례무골절탈위형경척수손상환자적료효.대수술치료적39례환자,근거수술시간분위조기수술조12례(수상3d내수술)화만기수술조27례(수상3d후수술),분석불동수술시궤대림상효과적영향.결과 보수치료환자척수공능회복정도저우수술치료자(P＜0.05).조기수술조교연기수술조동기신경공능개선명현(P＜0.05).결론 무골절탈위형경척수손상환자응조기수술치료.
Objective To investigate the treatment of non-fracture and dislocation injury of cervical spinal cord and the relationship between the timing of surgery and the clinical results.Methods The therapeutic effects of 107 patients treated with conservative treatment and operative treatment in the management of non-fracture and dislocation injury of cervical spinal cord.Early surgery (within 3 d of injury) was performed for 12 patients and delayed surgery (after 3 days of injury) for 27 patients.The effects of the timing of surgery on the clinical results were evaluated.Results The myeloid functional recovery was poor in patients treated with conservative means but good in those treated with operation.There were significant differences in outcomes between the two groups (P ＜ 0.05 ).The early operative group got better nerve function than the delayed operative group,and the difference between the two groups was significant statistically (P ＜ O.05).Conclusions Non-fracture and dislocation injury of cervical spinal cord should be operated early.