CAJ | 학술논문

　　目的?观察分析对中青年颈椎无骨折脱位的急性颈脊髓中央型损伤进行手术的临床疗效。方法?从我院收治入院的无骨折脱位的急性颈脊髓中央型损伤患者中抽取60例，随机分为观察组与对照组，观察组实施手术治疗，对照组实施非手术保守治疗。对比两组患者的治疗效果。结果?两组患者入院时ASIA评分无明显差异（P＞0.05）；治疗后随访1年观察组患者的ASIA运动、感觉及总评分均明显高于对照组，差异有统计学意义（P＜0.05）。结论?对颈椎无骨折脱位的急性颈脊髓中央型损伤的中青年患者实施手术治疗，相比保守治疗，能明显提高患者的ASIA评分，具有更为理想的临床治疗效果。
　　목적?관찰분석대중청년경추무골절탈위적급성경척수중앙형손상진행수술적림상료효。방법?종아원수치입원적무골절탈위적급성경척수중앙형손상환자중추취60례，수궤분위관찰조여대조조，관찰조실시수술치료，대조조실시비수술보수치료。대비량조환자적치료효과。결과?량조환자입원시ASIA평분무명현차이（P＞0.05）；치료후수방1년관찰조환자적ASIA운동、감각급총평분균명현고우대조조，차이유통계학의의（P＜0.05）。결론?대경추무골절탈위적급성경척수중앙형손상적중청년환자실시수술치료，상비보수치료，능명현제고환자적ASIA평분，구유경위이상적림상치료효과。
Objective?To?observe?the?clinical?effect?of?acute?central?cervical?cord?injury?were?operation?without?fracture?and?dislocation?of?cervical?vertebra.?Methods?Patients?treated?in?our?hospital?from?admission?without?fracture?and?dislocation?of?the?acute?cervical?spinal?cord?injury?in?60?cases,?were?randomly?divided?into?observation?group?and?control?group,?the?observation?group?treated?by?operation,?patients?in?control?group?received?non?operation?treatment.?Compared?two?groups?of?patients.?Results?The?two?groups?of?patients?on?admission?ASIA?score?had?no?signiifcant?difference?(P>0.05);?the?patients?were?followed?up?for?1?years?in?the?observation?group?ASIA?movement,?sensation?and?total?score?were?signiifcantly?higher?than?those?in?the?control?group,?the?difference?was?statistically?signiifcant?(P<0.05).?Conclusion?The?implementation?of?operation?in?treatment?of?acute?cervical?spinal?cord?injury?without?fracture?and?dislocation?of?the?cervical?spine?in?young?patients,?compared?with?conservative?treatment,?can?signiifcantly?improve?ASIA?score?of?patients,?clinical?therapeutic?effect?is?more?ideal.