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zi fa xing ying ji mo wai xue zhong de zhen zhi ji yu hou fen xi
Author(s): 
Pages: 1018-1019
Year: Issue:  8
Journal: Research of Traditional Chinese Medicine

Keyword:  硬脊膜外血肿 诊断 手术治疗 预后;
Abstract: 目的探讨自发性硬脊膜外血肿的诊断、治疗及预后相关因素。方法复习相关文献,回顾性分析我科近年来收治的9例自发性硬脊膜外血肿(SSEH)的诊断、治疗方法及预后情况。结果 MRI示椎管内硬脊膜外梭形或半月形占位影,多位于椎管后方或侧后方,血肿多发生于颈胸段。病人预后与血肿位置及术前神经功能状态、发病到手术的时间间隔及病人病情进展速度密切相关,与MRI中脊髓变形情况及术后康复治疗亦具有相关性。结论 MRI是SSEH诊断的最佳方法,明确诊断后及时手术治疗及术后合理的康复锻炼有利于改善SSEH的预后。
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