肿瘤性与创伤性脊髓损伤：住院康复比较

摘要(中文译文)

比较肿瘤性脊髓压迫与创伤性脊髓损伤患者的人口学特征、损伤特点及功能结局。研究进行了一项为期5年的前瞻性比较，将34例肿瘤性脊髓压迫患者与159例创伤性脊髓损伤患者进行对比。与创伤性脊髓损伤患者相比，肿瘤性脊髓压迫患者年龄显著更大，女性更多，且失业者更多。肿瘤性脊髓压迫更多表现为累及胸段的截瘫，且与创伤性脊髓损伤相比，损伤更多为不完全性。与创伤性脊髓损伤患者相比，肿瘤性脊髓压迫患者的康复住院时间显著更短。肿瘤组的FIM变化评分显著更低。两组患者的FIM效率和出院回家率相似。肿瘤性脊髓压迫患者具有不同的人口学和损伤特征，但可获得与创伤性脊髓损伤患者相当的功能改善率。尽管创伤性损伤患者获得更大的功能改善，但肿瘤患者的康复住院时间更短，且FIM效率和出院回家率相当。

Abstract

To compare demographics, injury characteristics, and functional outcomes of patients with neoplastic spinal cord compression with those with traumatic spinal cord injuries. A prospective 5-yr comparison was undertaken comparing 34 patients with neoplastic spinal cord compression with 159 patients with traumatic spinal cord injury. Patients with neoplastic spinal cord compression were significantly older, more often female, and unemployed than patients with traumatic spinal cord injury. Neoplastic spinal cord compression presented more often with paraplegia involving the thoracic spine, and injuries were more often incomplete compared with traumatic spinal cord injury. Patients with neoplastic spinal cord compression had a significantly shorter rehabilitation length of stay compared with those with traumatic spinal cord injury. The neoplastic group had significantly lower FIM change scores. Both groups had similar FIM efficiencies and discharge to home rates. Patients with neoplastic spinal cord compression have different demographic and injury characteristics but can achieve comparable rates of functional gains as their traumatic spinal cord injury counterparts. Although patients with traumatic injuries achieve greater functional improvement, patients with neoplasms have a shorter rehabilitation length of stay and comparable FIM efficiencies and home discharge rates.

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