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目的:分析54例儿童脊髓损伤患者的病因、伤情特点。初步探讨儿童脊髓损伤的治疗策略。方法:回顾分析54例儿童脊髓损伤的患儿的临床资料,包括患儿的一般状况,受伤机制,脊柱、脊髓损伤的节段,残损分级以及治疗康复的方案、效果。结果:本组平均年龄7.1(0.5～14)岁,男:女=1:1,伤因中车祸伤占38.9%,脊髓炎占24.1%,舞蹈练习占9.3%,损伤节段胸髓占72.2%,颈髓占20.4%,其中完全损伤占64.8%(35/54)。结论:本组儿童脊髓损伤以车祸、脊髓炎、坠落伤为主,舞蹈练习损伤比例亦较高。损伤节段以胸髓最多见,且完全损伤者为多。只有不完全脊髓损伤获得一定程度功能恢复。
Objective: To analyze the etiology and injury characteristics of 54 cases of children with spinal cord injury. Preliminary discussion of treatment strategies for children with spinal cord injury. Methods: The clinical data of 54 children with spinal cord injury were retrospectively analyzed, including the general condition of children, the mechanism of injury, the segments of spinal cord and spinal cord injury, the classification of the injury and the treatment and rehabilitation. Results: The average age of this group was 7.1 (0.5 ~ 14) years old, male and female = 1: 1, 38.9% were caused by car accident, 24.1% were myelitis, 9.3% were performed by dance, and 72.2% %, Cervical spinal cord accounted for 20.4%, which accounted for 64.8% of complete injury (35/54). Conclusion: The group of children with spinal cord injury in a car accident, myelitis, crashes-based, dance practice injury is also higher. The most common injury to the thoracic segment, and full damage were more. Only incomplete spinal cord injury to obtain a certain degree of functional recovery.