CAJ | 학술논문

目的：探讨车祸致颈4～5椎体骨折伴脊髓损伤患者的临床特点及相应的救治措施，以提高颈椎骨折的救治水平。方法：选取2011年3月～2013年5月期间我院急诊外科收治的34例车祸致颈4～5椎体骨折伴脊髓损伤患者作为本组研究的观察对象，对所有患者的年龄、性别、车祸类型、Frankel分级进行回顾性分析。结果：治疗前Frankel分级：A级4例，B级10例，C级18例，D级2例；术后Frankel分级：A级2例，B级3例，C级18例，D级11例，功能恢复≥1级者28例，总有效率为82．35％。结论：在车祸致颈4～5椎体骨折伴脊髓损伤患者的救治过程中，要及早对其颈部进行制动处理，并争取尽早手术，手术入路要根据脊髓受压情况来选择，并积极预防并处理并发症，提高治疗效果。
목적：탐토차화치경4～5추체골절반척수손상환자적림상특점급상응적구치조시，이제고경추골절적구치수평。방법：선취2011년3월～2013년5월기간아원급진외과수치적34례차화치경4～5추체골절반척수손상환자작위본조연구적관찰대상，대소유환자적년령、성별、차화류형、Frankel분급진행회고성분석。결과：치료전Frankel분급：A급4례，B급10례，C급18례，D급2례；술후Frankel분급：A급2례，B급3례，C급18례，D급11례，공능회복≥1급자28례，총유효솔위82．35％。결론：재차화치경4～5추체골절반척수손상환자적구치과정중，요급조대기경부진행제동처리，병쟁취진조수술，수술입로요근거척수수압정황래선택，병적겁예방병처리병발증，제고치료효과。
Objective:To develop fracture of cervical spine treatment level through investigate clinical characteristics and treatment measures of patients with traumatic fracture of 4-5 cervical spine.Methods:34 patients cured in our emergency surgery with traumatic fracture of 4-5 cervical spine accompany spinal cord injury from March,2011 to May, 2013 were selected to retrospectively analyze all patients'age, sex, traffic accident types and Frankerl grading.Results:Frankerl grading before treatment :Grade A 4 cases, Grade B 10 cases, Grade C 18 cases, Grade D 11 cases, 28 cases gained greater than or equal one grade functional recovery, the total effective rates were 82.35%.Conclusion:In the medical treatments of patients with traumatic fracture of 4-5 cervical spine, early neck braking, should operate as early as possible,select the correct surgical approach according the conditions of spinal compression and positively preventing and treating the complications can improve curative effect.