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报道34例颈脊髓过伸性损伤患者,以自行车摔伤和走路跌倒引起颈部过伸性外伤最多见,共22例。临床表现为:颈髓中央综合征21例,前脊髓损伤综合征6例,脊髓完全横断损伤4例,脊髓半切、前角及后角损伤各2例。损伤多发于颈髓中央部,损伤的范围与大小不尽一致,且可累及多个节段。颈髓CT或MRI检查对本病诊断具有重要价值。本组无1例合并颈椎骨折、脱位,故均经保守治疗,有效率达91%。
Reported 34 cases of cervical spinal cord injury in patients with excessive injuries to the bicycle and fall caused by walking the neck of the most common traumatic injury, a total of 22 cases. Clinical manifestations: 21 cases of cervical spinal cord syndrome, 6 cases of anterior spinal cord injury syndrome, 4 cases of complete transverse transection of the spinal cord, spinal cord hemisection, anterior horn and posterior horn injury in 2 cases. Damage in the central part of the cervical cord injury, the extent and size of the injury are not consistent, and can involve multiple segments. Cervical CT or MRI examination of the disease diagnosis of great value. No one in this group with cervical spine fracture, dislocation, it is conservative treatment, the effective rate of 91%.