中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2014年
6期
3472-3473
,共2页
无骨折脱位%颈髓损伤%治疗%疗效
無骨摺脫位%頸髓損傷%治療%療效
무골절탈위%경수손상%치료%료효
Non fracture or dislocation%Cervical spinal cord injury%Treatment%Clinical outcomes
目的：探讨手术与非手术治疗无骨折脱位型颈髓损伤的临床效果。方法：回顾性分析41例无骨折脱位型颈髓损伤病例，其中19例行非手术治疗，22例行手术治疗，比较两组患者治疗前后ASIA损害分级、JOA评分及神经功能改善情况，评价治疗效果。结果：非手术组和手术组治疗后ASIA损害分级、JOA评分均较治疗前提高；手术组治疗后3月及12月时神经功能改善率分别为（40±21）%和（59±30）%，非手术组同期神经改善率为（26±13）%和（42±27）%，手术组比非手术组神经功能改善明显，差异具有显著性意义（P﹤0.05）。结论：手术与非手术均能较好的治疗无骨折脱位型颈髓损伤，但手术治疗效果更为确切。
目的：探討手術與非手術治療無骨摺脫位型頸髓損傷的臨床效果。方法：迴顧性分析41例無骨摺脫位型頸髓損傷病例，其中19例行非手術治療，22例行手術治療，比較兩組患者治療前後ASIA損害分級、JOA評分及神經功能改善情況，評價治療效果。結果：非手術組和手術組治療後ASIA損害分級、JOA評分均較治療前提高；手術組治療後3月及12月時神經功能改善率分彆為（40±21）%和（59±30）%，非手術組同期神經改善率為（26±13）%和（42±27）%，手術組比非手術組神經功能改善明顯，差異具有顯著性意義（P﹤0.05）。結論：手術與非手術均能較好的治療無骨摺脫位型頸髓損傷，但手術治療效果更為確切。
목적：탐토수술여비수술치료무골절탈위형경수손상적림상효과。방법：회고성분석41례무골절탈위형경수손상병례，기중19례행비수술치료，22례행수술치료，비교량조환자치료전후ASIA손해분급、JOA평분급신경공능개선정황，평개치료효과。결과：비수술조화수술조치료후ASIA손해분급、JOA평분균교치료전제고；수술조치료후3월급12월시신경공능개선솔분별위（40±21）%화（59±30）%，비수술조동기신경개선솔위（26±13）%화（42±27）%，수술조비비수술조신경공능개선명현，차이구유현저성의의（P﹤0.05）。결론：수술여비수술균능교호적치료무골절탈위형경수손상，단수술치료효과경위학절。
Objective:To discuss the clinical outcomes of operative and non-operative methods in the treatment of cervical spinal cord injury without fracture and dislocation. Methods:The total of 45 patients with cervical spinal cord injury without fracture and dislocation treated were retrospectively analyzed, including 21 patients treated non-operatively, 24 patients treated operatively. The ASIA impairment scale and JOA scores of the two groups were compared, clinical effects were observed. Results:The ASIA impairment scale and JOA scores of the non-operative and operative groups were improved significantly compared to those of non-treatment. The curative probability of nerve function of the operative group in 3 month and 12 month after treatment was(40±21)% and(59±30)% respectively, while those of non-operative group in the same time was(26±13)% and(42±27)% respectively. The operative group got beter nerve function than that of the non-operative group, and the difference between the two groups was significant statisticaly.Conclusions:The methods of both operative and non-operative could get beter clinical outcomes in the treatment of patients of cervical spinal cord injury without fracture and dislocation, however, the operation is preferable.
