《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (11): 936-937.

• 临床研究 • 上一篇    下一篇

无骨折脱位型颈脊髓损伤的治疗和康复

唐和虎; 洪毅; 李想; 关骅   

  1. 北京博爱医院脊柱脊髓外科 北京市 100068
  • 收稿日期:2005-08-24 出版日期:2005-11-25 发布日期:2005-11-25

Treatment and rehabilitation of cervical spinal cord injury without fracture and dislocation

TANG He-hu,HONG Yi,LI Xiang,et al   

  1. Department of Spine and Spinal Cord Surgery, Beijing Charity Hospital, Beijing 100068, China
  • Received:2005-08-24 Published:2005-11-25 Online:2005-11-25

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被引次数

51

摘要： 目的探讨无骨折脱位型颈脊髓损伤手术治疗和保守治疗的临床疗效及早期康复效果。方法48例男性患者分为手术组29例,行颈后路双开门椎管扩大成型术,并进行早期康复训练;保守治疗组19例,入院后即行康复训练。根据ASIA标准分别于治疗前和治疗后3个月、6个月、12个月对患者进行感觉和运动评分。结果两组在治疗后感觉及运动功能较治疗前提高(P<0.05);但手术组疗效明显优于保守治疗组(P<0.01)。结论无骨折脱位型颈脊髓损伤患者早期施行减压及稳定手术可取得比保守治疗更好的康复效果。

关键词: 颈椎, 脊髓损伤, 椎管成型术, 康复

Abstract: ObjectiveTo investigate the effect of both conservative and surgical treatment on cervical spinal cord injury without fracture and dislocation.MethodsResultsAll patients had some recovery after both surgical and conservative treatment(P<0.05),but the patients after surgical treatment had a better outcome than those after conservative treatment(P<0.01).ConclusionThe effect of early surgical treatment on cervical spinal cord injury without fracture and dislocation is superior to conservative.

Key words: cervical spine, spinal cord injury, laminoplasty, rehabilitation