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[外伤性脊髓病晚期大网膜脊髓固定术的结果]

[The results of omentomyelopexy in the late period of traumatic spinal cord disease].

作者信息

Baskov A V, Shevelev I N, Iarikov D E, Iundin V I, Kolpachkov V A, Sokolova A A

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1998 Apr-Jun(2):17-9.

PMID:9720161
Abstract

The results of omental transplantation to the site of spinal cord lesion in 40 patients in late injury are given. Neurological deficit was alleviated in 17.5% of patients. Improvement of segmentary functions was observed in most cases and was recorded within 1 week to 3 months postoperatively. There was no neurological improvement after 6 months postoperatively. Patients with mild spinal cord injuries (D10-L1) had the best outcomes. Comparative analysis of the outcomes of omentomyelopexy with those of treatment in 115 patients undergone meningomyeloradicolysis did not demonstrate any significant difference. Thus, it is not justifiable to use omental transposition in late spinal cord injury.

摘要

给出了40例晚期脊髓损伤患者将网膜移植至脊髓损伤部位的结果。17.5%的患者神经功能缺损得到缓解。多数病例观察到节段性功能有所改善,且在术后1周内至3个月有记录。术后6个月后神经功能无改善。轻度脊髓损伤(D10-L1)的患者预后最佳。对115例行硬脊膜脊髓神经根松解术患者的网膜脊髓固定术与治疗结果进行对比分析,未显示出任何显著差异。因此,在晚期脊髓损伤中应用网膜转位是不合理的。

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