CAJ | 학술논문

目的：探讨颈前路植骨融合内固定术治疗无骨折脱位型颈脊髓损伤的疗效。方法将32例无骨折脱位型颈脊髓损伤（CSCIWFD）病例作为本次研究对象，行颈前路手术组21例（A组），非手术治疗组11例（B组）。对两组患者治疗前后ASIA分级情况进行比较分析。结果每个患者均获随访，依据国内标准，A组患者神经功能改善率为80.95%，B组患者神经功能改善率为45.55%，A组患者神经功能改善率高于B组，两组比较差异有统计学意义（P<0.05）。结论颈前路植骨融合内固定术后患者神经功能恢复良好，疗效满意。
목적：탐토경전로식골융합내고정술치료무골절탈위형경척수손상적료효。방법장32례무골절탈위형경척수손상（CSCIWFD）병례작위본차연구대상，행경전로수술조21례（A조），비수술치료조11례（B조）。대량조환자치료전후ASIA분급정황진행비교분석。결과매개환자균획수방，의거국내표준，A조환자신경공능개선솔위80.95%，B조환자신경공능개선솔위45.55%，A조환자신경공능개선솔고우B조，량조비교차이유통계학의의（P<0.05）。결론경전로식골융합내고정술후환자신경공능회복량호，료효만의。
Objective:To explore the effect of surgical treatments for cervical spinal cord injury without fracture and dislocation. Methods: 32 cases of cervical spinal cord injury without fracture and dislocation(CSCIWFD) patients as the research object,21 cases of cervical spinal cord injury without fracture and dislocation underwent anterior decompression, autologous bone graft, internal fixation (groupA). 11 cases of cervical spinal cord injury without fracture and dislocation underwent non-operative therapy (groupB). Pretherapy and posttreatment ,Spinal cord function based on ASIA criterion were recorded and compared. Results:The spinal cord function of the cases was improved in different degrees based on national criterion. The rate of patients with improved symptoms was 80.95% in group A and was 45.55% in group B,A group of patients with neurological function improvement rate was higher than that in group B,Signiifcant differents was seen (P<0.01). Conclusion:The spinal cord function can acquire an optimal recovery through anterior approach.