中国康复理论与实践Issue(3)：282-284,3.DOI:10.3969/j.issn.1006-9771.2014.03.023
非创伤性脊髓损伤的临床特点
Clinical Characteristics for Nontraumatic Spinal Cord Injury
摘要
Abstract
Objective To investigate the clinical characteristics of nontraumatic spinal cord injury, including the demographic character-istics, etiology and neurological function. Methods 44 patients with nontraumatic spinal cord injury in the past 4 years were reviewed. Re-sults There were 27 males (61.3%) and 17 females (38.7%) with mean age of 39.85 years (3.5~78). They were followed up for mean of 13.3 (3~23) months. Myelitis (36%) and spinal tumor (including primary and metastatic tumor, 18.1%) were the most common causes, followed by intraspinal tumor (15.9%), vascular disease (13.6%), nontraumatic acute disc herination (6.8%), spinal cord ischemia after non-spinal sur-gery (4.5%) and hepatic myelopathy (4.5%). Neurological function at the initial admission included tetraplegia in 9 patients, paraplegia in 30 patients, conus medullaris syndrome in 2 patients and cauda equina syndrome in 2 patients. Neurological function of ASIA at the initial admission included A in 14 cases, B in 6, C in 13 and D in 11. 34%patients improved at least one ASIA grade when evaluated at final follow up. Conclusion Nontraumatic etiologies contribute to a significant proportion for spinal cord injury. Patients with nontraumatic spinal cord injury present the clinical characteristics different from traumatic spinal cord injury cases.关键词
非创伤性脊髓损伤/病因学/神经功能/康复Key words
nontraumatic spinal cord injury/etiology/neurological function/rehabilitation分类
医药卫生引用本文复制引用
李想,洪毅,张军卫,唐和虎,刘舒佳,吕振,陈世铮..非创伤性脊髓损伤的临床特点[J].中国康复理论与实践,2014,(3):282-284,3.基金项目
首都医学发展科研基金项目(No.2009-2096)。 （No.2009-2096）
