概括
在成年人中,脊髓切除术后脊髓活动的复发并不常见. 与儿童不同的是,成年人很少在脊髓切除术后表现出真空化红细胞 (RBC),这表明脊髓再生很少.
科学领域:
- 血液学 血液学 血液学
- 手术病理学手术病理学
背景情况:
- 脊髓切除术的儿童经常表现出真空化红细胞 (RBC),表明脊髓残留活动.
- 脊髓破裂需要脊髓切除术,这是一种具有潜在长期影响的程序.
研究的目的:
- 为了调查成年人中因创伤而进行脊髓切除术后真空化红细胞的发生情况,与非创伤性迹象相比.
- 为了确定脊髓活动是否在脊髓切除术后在成年人中复发,类似于儿童的观察.
主要方法:
- 测试了17名创伤后脊髓切除术的成年人和15名创伤后非脊髓切除术的成年人中空化红细胞的外周血液涂抹.
- 在某些情况下使用了Technetium Tc 99m硫合物脏扫描来识别辅助脏.
主要成果:
- 脊髓切除术的成年人,无论症状 (创伤性或非创伤性),都显示出高的真空化红细胞的平均百分比 (29.0% +/- 1.0%在紧急情况下,32.3% +/- 2.0%在选择性).
- 只有一个因创伤而接受了切除术的成年人表现出很少的真空化红细胞;脏扫描显示了辅助脏.
结论:
- 由于脊髓破裂而进行脊髓切除术后,在成年人中脊髓活动的复发并不常见.
- 在脊髓切除术后的成年人中,真空化红细胞的存在不是显著的脊髓再生的可靠指标,与儿童不同.
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