CAJ | 학술논문

目的研究下颈椎骨折脱位的手术方法及疗效，为基层医院提供合适的工作模式。方法回顾性分析我院下颈椎骨折脱位手术治疗的患者56例，按照具体病情分为前路手术组、后路手术组和前后联合手术组，评价术后患者脊髓神经功能及椎体情况，观察相关并发症发生情况。结果所有患者均顺利手术出院，随访12个月，所有患者颈椎骨折脱位后复位都较满意，无显著并发症发生；三组患者术前术后的脊髓功能评分差异均显著均有统计学意义，三组间无明显差异。结论下颈椎骨折脱位患者，入院行颅骨牵引复位术，复位失败，则根据具体情况施行前路、后路或者前后路联合复位内固定术，尽量达到复位的稳定性，恢复脊髓神经功能，利于患者的康复。
목적연구하경추골절탈위적수술방법급료효，위기층의원제공합괄적공작모식。방법회고성분석아원하경추골절탈위수술치료적환자56례，안조구체병정분위전로수술조、후로수술조화전후연합수술조，평개술후환자척수신경공능급추체정황，관찰상관병발증발생정황。결과소유환자균순리수술출원，수방12개월，소유환자경추골절탈위후복위도교만의，무현저병발증발생；삼조환자술전술후적척수공능평분차이균현저균유통계학의의，삼조간무명현차이。결론하경추골절탈위환자，입원행로골견인복위술，복위실패，칙근거구체정황시행전로、후로혹자전후로연합복위내고정술，진량체도복위적은정성，회복척수신경공능，리우환자적강복。
Objective To study the surgical methods and therapeutic effect of cervical spine fracture dislocation, as a grass-roots hospital to provide appropriate working mode. Methods Retrospective analysis of 56 patients with surgical treatment of cervical spine fracture dislocation, according to the speciifc condition is divided into anterior surgery group, the posterior joint before and after the surgery group and surgery group, the evaluation of patients with postoperative function of spinal cord and vertebral body, observe the related complications. Results All patients were successfully discharged from the hospital, surgery were followed up for 12 months, all patients with cervical spine fracture dislocation after reset satisfaction, no signiifcant complications;three groups of spinal cord function after surgery for patients with preoperative scores were signiifcant difference had statistical signiifcance, no obvious difference between the three groups. Conclusion The patients with cervical spine fracture dislocation, admission line traction reduction, reduction and failure, depending on the speciifc circumstances of anterior, posterior or anterior and joint reduction and internal ifxation, and try to achieve the stability of the reset, restore spinal cord function, conducive to rehabilitation of patients.