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目的 :通过对 6例儿童无骨折脱位型胸腰段脊髓损伤的病例分析 ,进一步认识本病。方法 :本组 6例全部为胸腰段脊髓损伤。其中不完全脊髓损伤 5例 ,完全性脊髓损伤 1例 ,根据Frankel脊髓损伤分类法 :A级 1例 ,B级 2例 ,C级 3例。保守治疗 5例 ,手术治疗 1例。结果 :经 6个月～ 9年 10个月随访 ,4例完全恢复 ,1例参照Frankal分级法 ,半年后由入院时的B级恢复至E级 ,1例完全性脊髓损伤病儿无恢复。结论 :如果治疗及时、恰当 ,其治疗结果较为满意 ,对于有脊髓损伤而X线片甚至CT未发现脊柱异常者 ,应做MRI检查 ,以免延误治疗时机。
Objective: To further understand this disease by analyzing 6 cases of children without fracture dislocation thoracolumbar spinal cord injury case analysis. Methods: All 6 patients were thoracolumbar spinal cord injury. Among them, 5 cases were incomplete spinal cord injury and 1 case was complete spinal cord injury. According to Frankel’s classification of spinal cord injury, 1 case was grade A, 2 cases were grade B and 3 cases were grade C. Conservative treatment in 5 cases, surgical treatment in 1 case. Results: After 6 months to 9 years and 10 months follow-up, 4 patients recovered completely. One patient recurred to grade E by grade B at admission after six months according to Frankal classification. One patient with complete spinal cord injury did not recover. Conclusion: If the treatment is timely and appropriate, the results of the treatment are satisfactory. For patients with spinal cord injury or even CT with no abnormal spine, MRI examination should be performed to avoid delay of treatment.