颈中央脊髓损伤综合征的远期疗效及预后影响因素

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Abstract Objective: To evaluate the long-term efficacy of central cord syndrome (CCS) and analyze the influencing factors of long-term efficacy and prognosis. Methods: We retrospectively analyzed the data of 72 patients with CCS who were hospitalized at the Affiliated Hospital of Medical School of Ningbo University from January 2008 to December 2011. The neurological function of the patients was assessed by the JOA score method on admission and at the final follow-up. Univariate and multivariate analysis was performed using simple linear regression analysis and multiple linear regression analysis. Results: At the final follow-up visit, the mean JOA score increased from (10.13± 3.54) points to (14.14±2.53) points, and the JOA improvement rate was (59.49±31.80)%. The JOA improvement was significantly better than conservative treatment in the patients undergoing surgery. The difference was significant (P<0.05). After simple factor linear regression analysis and multivariate linear regression analysis of the various factors influencing the long-term efficacy and prognosis, it was shown that age and treatment were independent factors of the efficacy, and admission JOA score and hormone shock therapy were independent factors of the prognosis. Conclusion: It is less effective in the elder patients. Surgical treatment is superior to conservative treatment. Patients with severe initial neurological impairment and hormone shock treatment often have poorer prognosis.

Key words： cervical spinal cord injury efficacy prognosis

Received: 27 March 2018

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	YE Yi
	SONG Huanjun
	YE Zhifang
	JIANG Guoqiang.

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2018/V48/I11/833

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