中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
33期
128-129
,共2页
内固定%爆裂骨折%脊柱%环形减压
內固定%爆裂骨摺%脊柱%環形減壓
내고정%폭렬골절%척주%배형감압
Internal fixation%Burst fracture%Spinal%Circular decompression
目的：观察胸腰段脊柱爆裂骨折患者采取不同内固定治疗方法的效果。方法：选取2010年6月-2013年2月于本院骨科进行胸腰段脊柱爆裂骨折治疗的患者100例，随机分为对照组50例和观察组50例。对照组患者采取单纯椎弓根钉系统内固定治疗方案，观察组患者采取椎弓根钉系统内固定+椎板间植骨治疗方案。两组患者均于术后3周后进行相关肢体功能锻炼活动，禁止负重行走，术后随访10个月，记录和统计患者骨折恢复和椎管情况。结果：观察组术后前后缘高度和Cobb角改善情况均优于对照组，且观察组治疗前后改善幅度大于对照组，两组比较差异均有统计学意义（P<0.05）。观察组患者术后脊髓功能恢复1级和2级的人数分别为11例和22例，良好率高达66%，而对照组患者分别为5例和12例，良好率34%，两组比较差异有统计学意义（P<0.05）。两组患者各有2例出现切口感染的现象，观察组有1例患者愈合不良，经治疗后无恙，无任何患者出现断钉和螺钉松动的情况。结论：针对胸腰段脊柱爆裂骨折患者采取椎弓根钉系统内固定+椎板间植骨治疗方案效果显著，提高了术后良好率，帮助患者恢复脊髓正常功能，临床价值高。
目的：觀察胸腰段脊柱爆裂骨摺患者採取不同內固定治療方法的效果。方法：選取2010年6月-2013年2月于本院骨科進行胸腰段脊柱爆裂骨摺治療的患者100例，隨機分為對照組50例和觀察組50例。對照組患者採取單純椎弓根釘繫統內固定治療方案，觀察組患者採取椎弓根釘繫統內固定+椎闆間植骨治療方案。兩組患者均于術後3週後進行相關肢體功能鍛煉活動，禁止負重行走，術後隨訪10箇月，記錄和統計患者骨摺恢複和椎管情況。結果：觀察組術後前後緣高度和Cobb角改善情況均優于對照組，且觀察組治療前後改善幅度大于對照組，兩組比較差異均有統計學意義（P<0.05）。觀察組患者術後脊髓功能恢複1級和2級的人數分彆為11例和22例，良好率高達66%，而對照組患者分彆為5例和12例，良好率34%，兩組比較差異有統計學意義（P<0.05）。兩組患者各有2例齣現切口感染的現象，觀察組有1例患者愈閤不良，經治療後無恙，無任何患者齣現斷釘和螺釘鬆動的情況。結論：針對胸腰段脊柱爆裂骨摺患者採取椎弓根釘繫統內固定+椎闆間植骨治療方案效果顯著，提高瞭術後良好率，幫助患者恢複脊髓正常功能，臨床價值高。
목적：관찰흉요단척주폭렬골절환자채취불동내고정치료방법적효과。방법：선취2010년6월-2013년2월우본원골과진행흉요단척주폭렬골절치료적환자100례，수궤분위대조조50례화관찰조50례。대조조환자채취단순추궁근정계통내고정치료방안，관찰조환자채취추궁근정계통내고정+추판간식골치료방안。량조환자균우술후3주후진행상관지체공능단련활동，금지부중행주，술후수방10개월，기록화통계환자골절회복화추관정황。결과：관찰조술후전후연고도화Cobb각개선정황균우우대조조，차관찰조치료전후개선폭도대우대조조，량조비교차이균유통계학의의（P<0.05）。관찰조환자술후척수공능회복1급화2급적인수분별위11례화22례，량호솔고체66%，이대조조환자분별위5례화12례，량호솔34%，량조비교차이유통계학의의（P<0.05）。량조환자각유2례출현절구감염적현상，관찰조유1례환자유합불량，경치료후무양，무임하환자출현단정화라정송동적정황。결론：침대흉요단척주폭렬골절환자채취추궁근정계통내고정+추판간식골치료방안효과현저，제고료술후량호솔，방조환자회복척수정상공능，림상개치고。
Objective:To observe the effect of different internal fixation methods in treatment of thoracolumbar burst fracture.Method: 100 cases of patients were randomly divided into two groups. The treatment group were treated with pedicle screw system internal fixation and bone graft between vertebral plate. The control group were treated with pedicle screw system internal fixation. After 3 weeks two groups patients were observed exercise activities related to limb function, no weight-bearing walking, postoperative patients.Result:The treatment group was better than the control group of patients with before and after the flange height and cobb Angle to improve the situation. there was statistical significance(P<0.05).The number of the treatment group patients was 11 cases and 22 cases with No.1 and No.2 level, the good rate was as high as 66%, while the number of the control group patients was 5 cases and 12 cases with No.1 and No.2 level, the good rate was 34%, there was statistical significance(P<0.05).Conclusion:The treatment effect is obvious for patients with thoracolumbar burst fractures by pedicle screw internal fixation and posterior interbody, it can improve the postoperative good rate, to help with the recovery of spinal cord function, is clinical value.
