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目的:观察中西医结合治疗颈椎管狭窄外伤引起脊髓损伤的临床疗效。方法:对15例颈椎管狭窄外伤后经X线检查无骨折脱位的脊髓损伤患者行颈后路单开门椎管扩大成形术,有椎间盘损伤的患者同时采用选择性侧块或椎弓根螺钉固定,同时内服补阳还五汤加减治疗。结果:15例患者中有3例术后1月肌力提高1～2级、感觉平面下降。有12例感觉平面明显下降、肌力较术前明显恢复,平均提高2～3级。经1月至30月的随访,15例患者四肢肌力均有3级的提高,感觉有明显的恢复。结论:颈椎管狭窄外伤引起脊髓损伤手术减压、稳定治疗是必要的,同时口服补阳还五汤能提高疗效。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in treating spinal cord injury caused by cervical spinal stenosis. Methods: Fifteen patients with cervical spinal canal stenosis after X-ray examination without fracture and dislocation of spinal cord injury patients underwent a single posterior cervical spondyloplasty, disc herniation patients with selective lateral mass or pedicle screw fixation At the same time oral BYHWD addition and subtraction treatment. Results: Three of the 15 patients had an increase of 1 to 2 in muscle strength at 1 month after operation, and their sensory level decreased. In 12 cases, the sensory level was obviously decreased, and the muscle strength was obviously recovered compared with that before operation, with an average increase of 2 ~ 3. After 1 month to 30 months of follow-up, 15 patients with limb muscle strength have three levels of improvement, the feeling of significant recovery. Conclusion: Cervical spinal stenosis trauma caused spinal cord injury surgery decompression, stable treatment is necessary, while oral BYHWD can improve the curative effect.