摘要
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。
Abstract
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.
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