PDF(Pubmed)
Abstract：
UNASSIGNED: To explore relevant influencing factors of the prognosis of patients with winter sports-induced traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema after emergency surgical treatment.
UNASSIGNED: A retrospective analysis was performed on 73 cases of traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema in The First Hospital Affiliated to Hebei North University from January 2020 to October 2022. The enrolled patients were divided into the good prognosis (n=17) group and poor prognosis (n=56) group according to the recovery of neurological function after six months of follow-up. The risk factors affecting the prognosis of patients with traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema after emergency surgery were analyzed by binary Logistic regression.
UNASSIGNED: Among the enrolled 73 patients with traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema, 56 cases showed significant improvement in ASIA Grade-6 months after operation, with an improvement rate of 76.71%. Further Logistic regression analysis revealed that concomitant diabetes, preoperative MSCC>40.83% and recovery rate of AMS <40.13% 3d after operation were independent risk factors affecting the poor prognosis of patients with traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema.
UNASSIGNED: Emergency surgery can improve the neurological function of patients with cervical spinal cord injury complicated with intramedullary hemorrhage and edema caused by winter sports. Concomitant diabetes, preoperative MSCC and recovery rate of AMS 3d after operation are the main factors affecting the prognosis of patients with emergency surgery.
UNASSIGNED: A retrospective analysis was performed on 73 cases of traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema in The First Hospital Affiliated to Hebei North University from January 2020 to October 2022. The enrolled patients were divided into the good prognosis (n=17) group and poor prognosis (n=56) group according to the recovery of neurological function after six months of follow-up. The risk factors affecting the prognosis of patients with traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema after emergency surgery were analyzed by binary Logistic regression.
UNASSIGNED: Among the enrolled 73 patients with traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema, 56 cases showed significant improvement in ASIA Grade-6 months after operation, with an improvement rate of 76.71%. Further Logistic regression analysis revealed that concomitant diabetes, preoperative MSCC>40.83% and recovery rate of AMS <40.13% 3d after operation were independent risk factors affecting the poor prognosis of patients with traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema.
UNASSIGNED: Emergency surgery can improve the neurological function of patients with cervical spinal cord injury complicated with intramedullary hemorrhage and edema caused by winter sports. Concomitant diabetes, preoperative MSCC and recovery rate of AMS 3d after operation are the main factors affecting the prognosis of patients with emergency surgery.
摘要：
■探讨冬季运动所致创伤性颈髓损伤并发髓内出血及水肿患者急诊手术治疗后预后的相关影响因素。
■回顾性分析河北北方大学附属第一医院2020年1月至2022年10月收治的73例外伤性颈髓损伤并发髓内出血和水肿的临床资料。根据随访6个月后神经功能恢复情况分为预后良好组(n=17)和预后不良组(n=56)。采用二元Logistic回归分析影响外伤性颈髓损伤患者急诊手术后并发髓内出血及水肿预后的危险因素。
■在73例创伤性颈髓损伤并发髓内出血和水肿的患者中，56例术后6个月ASIAGrade明显改善，改善率为76.71%。进一步Logistic回归分析显示，合并糖尿病，术前MSCC>40.83%和术后3dAMS恢复率<40.13%是影响创伤性颈髓损伤并发髓内出血和水肿患者预后不良的独立危险因素。
■急诊手术可改善颈髓损伤并发冬季运动引起的髓内出血和水肿患者的神经功能。合并糖尿病,术前MSCC和术后3dAMS恢复率是影响急诊手术患者预后的主要因素。
■回顾性分析河北北方大学附属第一医院2020年1月至2022年10月收治的73例外伤性颈髓损伤并发髓内出血和水肿的临床资料。根据随访6个月后神经功能恢复情况分为预后良好组(n=17)和预后不良组(n=56)。采用二元Logistic回归分析影响外伤性颈髓损伤患者急诊手术后并发髓内出血及水肿预后的危险因素。
■在73例创伤性颈髓损伤并发髓内出血和水肿的患者中，56例术后6个月ASIAGrade明显改善，改善率为76.71%。进一步Logistic回归分析显示，合并糖尿病，术前MSCC>40.83%和术后3dAMS恢复率<40.13%是影响创伤性颈髓损伤并发髓内出血和水肿患者预后不良的独立危险因素。
■急诊手术可改善颈髓损伤并发冬季运动引起的髓内出血和水肿患者的神经功能。合并糖尿病,术前MSCC和术后3dAMS恢复率是影响急诊手术患者预后的主要因素。
