APP下载

显微镜下硬膜下穿刺冲洗治疗腰段脊髓损伤的疗效分析

2019-08-13冯文杰邓海棠孔志强邹凯张震乾苏晓恩

中国医学创新 2019年8期
关键词:显微镜

冯文杰 邓海棠 孔志强 邹凯 张震乾 苏晓恩

【摘要】 目的:探讨腰段脊髓损伤采取显微镜下硬膜下穿刺冲洗治疗的效果。方法:选取2016年7月-2018年5月本院接收的60例腰段脊髓损伤患者,将患者按照随机数字表法分为对照组(n=30)与观察组(n=30),两组均行椎板减压椎弓根螺钉内固定手术,观察组在此基础上采用显微镜行硬膜下穿刺冲洗损伤部位的脊髓神经,对两组的疗效及相关指标进行观察和比较。结果:治疗后6个月,观察组ASIA分级情况明显优于对照组,差异有统计学意义(P<0.05)。治疗后1、6个月,观察组患者的FIM及Barthel评分均显著高于对照组,差异均有统计学意义(P<0.05)。治疗后1、6个月,观察组患者的运动评分明显高于对照组,差异均有统计学意义(P<0.05)。结论:对于腰段脊髓损伤患者,采用显微镜下硬膜下穿刺冲洗治疗,能有效改善患者的脊柱神经功能,改善患者的生活自理能力和运动功能,安全性较高,值得推广。

【关键词】 腰段脊髓损伤; 硬膜下穿刺冲洗; 显微镜

【Abstract】 Objective:To discuss the efficacy of microscopic subdural puncture and flushing in lumbar spinal cord injury.Method:60 lumbar spinal cord injury patients treated from July 2016 to May 2018 in our hospital were selected,patients were divided into control group(n=30)and observation group(n=30)according to the random number table method.Both groups were treated with laminar decompression and pedicle screw internal fixation,and the observation group was treated with subdural puncture to flush the injured spinal nerves,the curative effect and relative indexes of the two groups were observed and compared.Result:6 months after treatment,the ASIA grading in the observation group was significantly better than that in the control group,with statistically significant difference(P<0.05).1 and 6 months after treatment,the FIM and Barthel scores of patients in the observation group were significantly higher than those in the control group,with statistically significant differences(P<0.05).1 and 6 months after treatment,the exercise scores of patients in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The microscopic subdural puncture and flushing can efficiently improve the spinal nerve function,self-help ability,motor function and clinical safety,it is worthy of promotion.

【Key words】 Lumbar spinal cord injury; Subdural puncture and flushing; Microscope

First-authors address:Zhaoqing First Peoples Hospital,Zhaoqing 526000,China

doi:10.3969/j.issn.1674-4985.2019.08.007

【摘要】 目的:探討腰段脊髓损伤采取显微镜下硬膜下穿刺冲洗治疗的效果。方法:选取2016年7月-2018年5月本院接收的60例腰段脊髓损伤患者,将患者按照随机数字表法分为对照组(n=30)与观察组(n=30),两组均行椎板减压椎弓根螺钉内固定手术,观察组在此基础上采用显微镜行硬膜下穿刺冲洗损伤部位的脊髓神经,对两组的疗效及相关指标进行观察和比较。结果:治疗后6个月,观察组ASIA分级情况明显优于对照组,差异有统计学意义(P<0.05)。治疗后1、6个月,观察组患者的FIM及Barthel评分均显著高于对照组,差异均有统计学意义(P<0.05)。治疗后1、6个月,观察组患者的运动评分明显高于对照组,差异均有统计学意义(P<0.05)。结论:对于腰段脊髓损伤患者,采用显微镜下硬膜下穿刺冲洗治疗,能有效改善患者的脊柱神经功能,改善患者的生活自理能力和运动功能,安全性较高,值得推广。

猜你喜欢

显微镜
显微镜手工计数法在低值血小板计数中的应用
我的显微镜
打开微小世界的大门——显微镜
显微镜里的物像为什么是倒立的?
显微镜下的世界
简易光学显微镜的设计与研制
探秘世界
显微镜中奇妙的沙世界
原子力显微镜—荧光显微镜联用技术在活细胞单分子检测中的应用
显微镜下看沙