北京大学学报(医学版) ›› 2019, Vol. 51 ›› Issue (5): 840-850. doi: 10.19723/j.issn.1671-167X.2019.05.009
孙建军1,△(),杨军1,谢京城1,常青2,马长城1,郑梅3,LIAO Hung-I4,王涛1,陈晓东1,韩芸峰1,林国中1,于涛1,张嘉1,司雨1
Jian-jun SUN1,△(),Jun YANG1,Jing-cheng XIE1,Qing CHANG2,Chang-cheng MA1,Mei ZHENG3,Hung-I LIAO4,Tao WANG1,Xiao-dong CHEN1,Yun-feng HAN1,Guo-zhong LIN1,Tao YU1,Jia ZHANG1,Yu SI1
摘要:
目的:对比性分析少节段和多节段髓内原发性肿瘤患者神经功能和预后的差异。方法: 选择北京大学第三医院2010年1月至 2015年12月显微神经外科手术治疗髓内肿瘤患者进行回顾性分析,共收集病例135例,用IJOA(improved Japanese orthopaedic association) 评分评估手术前后的神经功能状况。结果: 在少节段和多节段髓内肿瘤患者中,术前IJOA评分(P=0.02)和术后早期IJOA评分(P=0.004)差异均有统计学意义,不论术前还是术后早期,少节段髓内肿瘤患者神经功能都较好一些,大部分多节段髓内肿瘤患者都有不同程度的肢体无力,但是,对于术后长期的神经功能,多节段和少节段髓内肿瘤患者的差异无统计学意义(P=0.12),经过积极的功能锻炼,多节段髓内肿瘤患者的神经功能状况得以充分改善。结论:相比多节段髓内原发肿瘤患者,少节段髓内原发肿瘤患者围手术期的神经功能状况要好一些,尤其在肢体肌力方面,经积极功能锻炼,多节段髓内肿瘤患者的远期神经功能状况得以充分改善。
中图分类号:
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