脊髓切开术治疗创伤性脊髓损伤的手术时机研究进展

doi:10.3969/j.issn.1006-7795.2015.01.028

首都医科大学学报 ›› 2015, Vol. 36 ›› Issue (1): 147-150.doi: 10.3969/j.issn.1006-7795.2015.01.028

脊髓切开术治疗创伤性脊髓损伤的手术时机研究进展

杨德刚, 李建军, 杨明亮, 胡安明, 顾蕊, 杜良杰

首都医科大学康复医学院, 中国康复研究中心脊柱脊髓神经功能重建科, 北京 100068

收稿日期:2014-08-15 出版日期:2015-02-21 发布日期:2015-01-31
通讯作者: 李建军 E-mail:crrclijianjun@gmail.com
基金资助:
国家十二五科技支撑项目(2012BAI34B02),国家自然科学基金(81272164).

Recent advances in surgical timing of myelotomy after traumatic spinal cord injury

Yang Degang, Li Jianjun, Yang Mingliang, Hu Anming, Gu Rui, Du Liangjie

School of Rehabilitation Medicine, Capital Medical University, Department of Spinal and Neural Function Reconstruction, China Rehabilitation Research Center, Beijing 100068, China

Received:2014-08-15 Online:2015-02-21 Published:2015-01-31
Supported by:
This study was supported by The Supporting Program of the Twelve Five-year Plan for Science & Technology Research of China (2012BAI34B02), National Natural Science Foundation of China (81272164).

摘要/Abstract

摘要： 创伤性脊髓损伤的患病率逐年增加,预后没有根本改观,严重影响人类的健康与生活质量.脊髓损伤后髓内出血、水肿,在软硬脊膜的束缚下可能导致实质内压力增高,导致缺血缺氧,加重脊髓的继发性损伤进程.脊髓切开术切开硬脊膜、软脊膜、肿胀脊髓,释放坏死物质,是治疗脊髓损伤的有希望的途径之一.目前仍无脊髓切开术治疗创伤性脊髓损伤的规范化手术方案,本文作者对其手术时机的研究作一综述.

关键词: 创伤性脊髓损伤, 脊髓切开术, 手术时机

Abstract: The prevalence of traumatic spinal cord injury(TSCI) is increasing year by year, and there is no fundamental change in its prognosis, therefore it seriously influences the patients' health and quality of life. After trauma, spinal cord hemorrhage and swelling without damage of the dura matter increase subdural pressure and results in exacerbation of ischemia and hypoxia, which aggravate secondary damage. Myelotomy cuts open dura, pia matter and swelling spinal cord, and evacuates necrotic tissues, which could be a potential therapeutic method for SCI. However, there is no standardized operational process on myelotomy in the treatment of TSCI. Here issues related to the surgical timing of myelotomy after traumatic spinal cord injury are discussed.

Key words: traumatic spinal cord injury, myelotomy, surgical timing

中图分类号:

R651.2

杨德刚, 李建军, 杨明亮, 胡安明, 顾蕊, 杜良杰. 脊髓切开术治疗创伤性脊髓损伤的手术时机研究进展[J]. 首都医科大学学报, 2015, 36(1): 147-150.

Yang Degang, Li Jianjun, Yang Mingliang, Hu Anming, Gu Rui, Du Liangjie. Recent advances in surgical timing of myelotomy after traumatic spinal cord injury[J]. Journal of Capital Medical University, 2015, 36(1): 147-150.

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脊髓切开术治疗创伤性脊髓损伤的手术时机研究进展

Recent advances in surgical timing of myelotomy after traumatic spinal cord injury

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