CAJ | 학술논문

创伤性脊髓损伤的患病率逐年增加，预后没有根本改观，严重影响人类的健康与生活质量。脊髓损伤后髓内出血、水肿，在软硬脊膜的束缚下可能导致实质内压力增高，导致缺血缺氧，加重脊髓的继发性损伤进程。脊髓切开术切开硬脊膜、软脊膜、肿胀脊髓，释放坏死物质，是治疗脊髓损伤的有希望的途径之一。目前仍无脊髓切开术治疗创伤性脊髓损伤的规范化手术方案，本文作者对其手术时机的研究作一综述。
창상성척수손상적환병솔축년증가，예후몰유근본개관，엄중영향인류적건강여생활질량。척수손상후수내출혈、수종，재연경척막적속박하가능도치실질내압력증고，도치결혈결양，가중척수적계발성손상진정。척수절개술절개경척막、연척막、종창척수，석방배사물질，시치료척수손상적유희망적도경지일。목전잉무척수절개술치료창상성척수손상적규범화수술방안，본문작자대기수술시궤적연구작일종술。
The prevalence of traumatic spinal cord injury(TSCI)is increasing year by year,and there is no fundamental change in its prognosis,therefore it seriously influences the patients’health and quality of life.After trauma,spinal cord hemorrhage and swelling without damage of the dura matter increase subdural pressure and results in exacerbation of ischemia and hypoxia,which aggravate secondary damage.Myelotomy cuts open dura,pia matter and swelling spinal cord,and evacuates necrotic tissues,which could be a potential therapeutic method for SCI.However,there is no standardized operational process on myelotomy in the treatment of TSCI.Here issues related to the surgical timing of myelotomy after traumatic spinal cord injury are discussed.