中华航海医学与高气压医学杂志
中華航海醫學與高氣壓醫學雜誌
중화항해의학여고기압의학잡지
CHINESE JOURNAL OF NAUTICAL MEDICINE AND HYPERBARIC MEDICINE
2010年
6期
334-336
,共3页
谭仁林%兰祖秀%杨家林%王照卿%程勇
譚仁林%蘭祖秀%楊傢林%王照卿%程勇
담인림%란조수%양가림%왕조경%정용
高压氧%后路三维椎弓根螺钉系统%联合治疗%胸腰椎骨折%脊髓损伤
高壓氧%後路三維椎弓根螺釘繫統%聯閤治療%胸腰椎骨摺%脊髓損傷
고압양%후로삼유추궁근라정계통%연합치료%흉요추골절%척수손상
Hyperbaric oxygen treatment%Posterior atlas internal fixation%Combined therapy%Thoracolumbar spine fracture%Spinal cord injury
目的 探讨高压氧(HBO)联合后路三维椎弓根螺钉(AF)系统对于胸腰椎骨折并脊髓损伤的治疗效果.方法 将2000年12月至2009年9月收治的96例胸腰椎骨折并脊髓损伤患者根据治疗方法 不同分为联合治疗组(HBO+AF)42例,AF组35例,HBO组19例,观察各组治疗效果,总结预后.其中HBO组在伤后或术后平均4.5 d接受3个疗程共30 d HBO治疗,AF组在伤后平均4.3 d接受后路AF系统方法 治疗.结果 HBO+AF组有效率92.8%,AF组有效率71.4%,HBO组有效率52.6%.HBO+AF组疗效优于AF组(P＜0.05)和HBO组(P＜0.01).结论 HBO联合后路AF系统治疗胸腰椎骨折并脊髓损伤较单纯后路AF系统治疗及HBO治疗有更好的疗效.
目的 探討高壓氧(HBO)聯閤後路三維椎弓根螺釘(AF)繫統對于胸腰椎骨摺併脊髓損傷的治療效果.方法 將2000年12月至2009年9月收治的96例胸腰椎骨摺併脊髓損傷患者根據治療方法 不同分為聯閤治療組(HBO+AF)42例,AF組35例,HBO組19例,觀察各組治療效果,總結預後.其中HBO組在傷後或術後平均4.5 d接受3箇療程共30 d HBO治療,AF組在傷後平均4.3 d接受後路AF繫統方法 治療.結果 HBO+AF組有效率92.8%,AF組有效率71.4%,HBO組有效率52.6%.HBO+AF組療效優于AF組(P＜0.05)和HBO組(P＜0.01).結論 HBO聯閤後路AF繫統治療胸腰椎骨摺併脊髓損傷較單純後路AF繫統治療及HBO治療有更好的療效.
목적 탐토고압양(HBO)연합후로삼유추궁근라정(AF)계통대우흉요추골절병척수손상적치료효과.방법 장2000년12월지2009년9월수치적96례흉요추골절병척수손상환자근거치료방법 불동분위연합치료조(HBO+AF)42례,AF조35례,HBO조19례,관찰각조치료효과,총결예후.기중HBO조재상후혹술후평균4.5 d접수3개료정공30 d HBO치료,AF조재상후평균4.3 d접수후로AF계통방법 치료.결과 HBO+AF조유효솔92.8%,AF조유효솔71.4%,HBO조유효솔52.6%.HBO+AF조료효우우AF조(P＜0.05)화HBO조(P＜0.01).결론 HBO연합후로AF계통치료흉요추골절병척수손상교단순후로AF계통치료급HBO치료유경호적료효.
Objective To investigate the effect of hyperbaric oxygen treatment and posterior atlas internal fixation on patients with thoracolumbar spine fracture coupled with spinal cord injury. Methods Ninety -six cases of thoracolumbar spine fracture coupled with spinal cord injury admitted into the hospital from December 2000 to September 2009 were divided into 3 groups: the combined therapeutic group ( the HBO + AF group ), the posterior atlas fixation group (the AF group) and the HBO treatment group (the HBO group). The HBO group was treated purely with 3 sessions of HBO therapy for 30 days with an average of 4.5 days after injury or operation. The AF group was treated simply with posterior atlas internal fixation with an average of 4.3 days after injury. The treatment effects of the three groups were studied respectively after therapy. Close observations were made on the effects of both HBO treatment and posterior atlas internal fixation and also prognosis of each group. Results The effective rate of the combined therapeutic group was 92.8 %, while those of the AF group and the pure HBO group were 71.4 % and 52.6 % respectively. The combined therapeutic group showed better treatment effects than the AF group ( P ＜ 0.05 ) and the HBO group ( P ＜0. 01 ). Conclusions Posterior atlas internal fixation combined with HBO treatment produced obviously better effects than simple posterior atlas internal fixation or pure HBO treatment.
