王少波 蔡钦林 党耕町 娄思权 李迈 王立舜 刘忠军 100083 北京医科大学第三医院骨科 中华骨科杂志 1999 0 19 2


    关键词：颈椎；椎管；血肿；硬膜外；脊髓压迫症 期刊 zhgkzz 0 脊柱脊髓疾患 fur -->


    

【摘要】目的 了解颈椎管扩大术后颈椎硬膜外血肿的临床表现、诊断、治疗和结果、形成原因及预防办法。方法 自1985年2月～1997年12月共行颈后路椎管扩大术1710例，11例术后出现颈椎硬膜外血肿，对其临床表现、诊断、手术治疗及结果进行了临床分析。结果 11例颈椎硬膜外血肿，术前Frankel分级，A级1例，B级5例，C级4例，D级1例。11例(100%)神经系统症状术后均有不同程度的恢复，其中6例(54.54%)完全恢复。结论 颈椎管扩大术后出现颈椎SEH，手术治疗有效。神经障碍恢复与症状出现距手术减压时间及神经压迫的程度呈相关性，即距脊髓减压手术的时间越短、术前神经障碍程度越轻，术后效果越好。

    Spinal Epidural Hematoma Following Enlargement of Cervical Spinal Canal

WANG Shaobo CAI Qinlin DANG Gengting, et al.

    Department of Orthopaedics, The Third Hospital of Beijing Medical University,Beijing 100083

【 Abstract 】 Objective To observe the causes, clinical manifestation, diagnosis, treatment, outcome and prevention of spinal epidural hematoma following enlargement of cervical spinal canal .Methods Spinal epidural hematoma occurred in 11 of 1710 paients following enlargement of cervical spinal canal. All the 11 cases had undergone evacuation of the hematoma and decompression of the spianl cord were rewiewed. Results Neurological improvement was seen in all, including 6 complete neurological recovery based on Frankel grading scale with an average of 4 years and 8 months follow- up. Conclusions Decompression had a certain efficacy on neurological recovery.

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