中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
36期
7-9,10
,共4页
注射型硫酸钙%弓根内固定%腰椎骨折
註射型硫痠鈣%弓根內固定%腰椎骨摺
주사형류산개%궁근내고정%요추골절
Injected calcium sulphate%Pedicle internal fixation%Lumbar spine fractures
目的：探讨注射型硫酸钙椎体形成辅助弓根内固定治疗腰椎骨折的效果。方法：将2009年2月12日-2012年1月12日骨科收治的42例住院的腰椎骨折住院患者按随机数字表法分为观察组和对照组各21例，对照组实施弓根内固定手术治疗，观察组采用注射型硫酸钙椎体形成辅助弓根内固定治疗，分析两组矢状位指数SI度、椎体前缘高度压缩率、椎体后缘高度压缩率、神经功能ASIA评定、腰背疼痛Denis分极、术后首次下床活动时间、治疗满意度的差异；并使用EpiData软件设计、建设数据库，并进行数据录入、数据清理、数据更新等，最后锁定数据库；采用SAS 9.1软件进行统计。结果：各项测评结果观察组均显著优于对照组，比较差异具有统计学意义（P<0.05）。结论：对腰椎骨折患者实施注射型硫酸钙椎体形成辅助弓根内固定治疗，可提高治疗效果，及患者满意度，优于常规弓根内固定治疗模式，值得临床研究推广使用。
目的：探討註射型硫痠鈣椎體形成輔助弓根內固定治療腰椎骨摺的效果。方法：將2009年2月12日-2012年1月12日骨科收治的42例住院的腰椎骨摺住院患者按隨機數字錶法分為觀察組和對照組各21例，對照組實施弓根內固定手術治療，觀察組採用註射型硫痠鈣椎體形成輔助弓根內固定治療，分析兩組矢狀位指數SI度、椎體前緣高度壓縮率、椎體後緣高度壓縮率、神經功能ASIA評定、腰揹疼痛Denis分極、術後首次下床活動時間、治療滿意度的差異；併使用EpiData軟件設計、建設數據庫，併進行數據錄入、數據清理、數據更新等，最後鎖定數據庫；採用SAS 9.1軟件進行統計。結果：各項測評結果觀察組均顯著優于對照組，比較差異具有統計學意義（P<0.05）。結論：對腰椎骨摺患者實施註射型硫痠鈣椎體形成輔助弓根內固定治療，可提高治療效果，及患者滿意度，優于常規弓根內固定治療模式，值得臨床研究推廣使用。
목적：탐토주사형류산개추체형성보조궁근내고정치료요추골절적효과。방법：장2009년2월12일-2012년1월12일골과수치적42례주원적요추골절주원환자안수궤수자표법분위관찰조화대조조각21례，대조조실시궁근내고정수술치료，관찰조채용주사형류산개추체형성보조궁근내고정치료，분석량조시상위지수SI도、추체전연고도압축솔、추체후연고도압축솔、신경공능ASIA평정、요배동통Denis분겁、술후수차하상활동시간、치료만의도적차이；병사용EpiData연건설계、건설수거고，병진행수거록입、수거청리、수거경신등，최후쇄정수거고；채용SAS 9.1연건진행통계。결과：각항측평결과관찰조균현저우우대조조，비교차이구유통계학의의（P<0.05）。결론：대요추골절환자실시주사형류산개추체형성보조궁근내고정치료，가제고치료효과，급환자만의도，우우상규궁근내고정치료모식，치득림상연구추엄사용。
Objective:To study the effect of pedicle internal fixation combined with adjuvant vertebroplasty by injected calcium sulphate in the treatment of lumbar fractures. Method:A total of 42 cases with lumbar fracture in orthopaedic of our hospital from February 12,2009 to January 12, 2012 were randomly divided into the observation group(21 cases)and the control group(21 cases),the control group received pedicle internal fixation surgery,the observation group received pedicle internal fixation combined with adjuvant vertebroplasty by injected calcium sulphate,and some indicators in the two groups were analyzed,including sagittal index SI degrees,the compression ratio of fanterior edge height,the compression ratio of vertebral rear height,ASIA for neurological function assessment,low back pain Denis classification,ambulation time for the first time,and differences of the treatment satisfaction degree. Then database was designed and constructed by EpiData software,and researchers performed data entry,data cleaning,data update, etc,and finally database was locked. SAS 9.1 software was used. Result:The evaluation results of the observation group were significantly better than those of the control group,and the differences were statistically significant(P<0.05). Conclusion:The treatment of pedicle internal fixation combined with adjuvant vertebroplasty by injected calcium sulphate in patients with lumbar fractures can improve the effect of treatment and satisfaction degrees of patients,is superior to the conventional pedicle internal fixation treatment mode,is worthy of clinical promoting.
