CAJ | 학술논문

目的：对胸腰椎骨折伴脊髓损伤手术治疗方式的选择进行分析。方法选取从2008年10月~2013年10月收治的95例胸腰椎骨折伴脊髓损伤患者，针对患者的病情采取相应的手术治疗方式，有71例患者采取经后路手术的治疗方式，有24例患者采取经前路手术治疗的方式。在手术以后对患者进行随访，将2种手术方式的疗效进行对比。结果在手术治疗前与手术治疗后的Cobb 角以及Frankel分级方面，将两种手术方式进行对比，其差异具有统计学意义（P＜0.05）。在改善Cobb 角方面，前路手术明显优于后路手术，其差异具有统计学意义（P＜0.05）。在手术时间以及术中出血量方面，同前路手术进行对比，后路手术明显较少，其差异具有统计学意义（P＜0.05）。结论对于损伤的脊椎，前路手术与后路手术都能起到复位固定的效果。前路手术能彻底的减压，具有较好的远期稳定性，但是在技术以及医疗条件方面有着严格的要求，同时手术所需要的费用比较高。后路手术对患者造成的创伤小，操作起来也比较简单，手术以后不容易出现合并症，同时有丢失椎体高度的情况出现，在临床中，需要合理的选择手术治疗的方式。
목적：대흉요추골절반척수손상수술치료방식적선택진행분석。방법선취종2008년10월~2013년10월수치적95례흉요추골절반척수손상환자，침대환자적병정채취상응적수술치료방식，유71례환자채취경후로수술적치료방식，유24례환자채취경전로수술치료적방식。재수술이후대환자진행수방，장2충수술방식적료효진행대비。결과재수술치료전여수술치료후적Cobb 각이급Frankel분급방면，장량충수술방식진행대비，기차이구유통계학의의（P＜0.05）。재개선Cobb 각방면，전로수술명현우우후로수술，기차이구유통계학의의（P＜0.05）。재수술시간이급술중출혈량방면，동전로수술진행대비，후로수술명현교소，기차이구유통계학의의（P＜0.05）。결론대우손상적척추，전로수술여후로수술도능기도복위고정적효과。전로수술능철저적감압，구유교호적원기은정성，단시재기술이급의료조건방면유착엄격적요구，동시수술소수요적비용비교고。후로수술대환자조성적창상소，조작기래야비교간단，수술이후불용역출현합병증，동시유주실추체고도적정황출현，재림상중，수요합리적선택수술치료적방식。
Objective:To select the thoracolumbar fractures with spinal cord injury surgical treatment were analyzed. Methods: From October 2008 to October 2013 were treated 95 thoracolumbar fracture with spinal cord injury patients , take the appropriate surgical treatment for the patient's condition , there are 71 patients taking posterior surgical treatment , there 24 patients taken to surgery after anterior approach . After surgery patients were fol owed up , the ef icacy of two surgical methods were compared. Results: Before surgery and after surgery , and Frankel grade Cobb angle , the two surgical methods wil be compared , the dif erence was statistical y significant (P<0.05). ignificantly bet er than the anterior posterior surgery , the dif erence was statistical y significant (P<0.05). In terms of operative time and blood loss , were compared with anterior , posterior surgery significantly less , the dif erence was statistical y significant (P<0.05). Conclusion: For the spinal injury , anterior and posterior fixation surgery can play the effect. Anterior decompression thoroughly, with good long-term stability, but has very strict requirements in terms of technical and medical conditions, while the cost of surgery requires relatively high. Posterior surgical trauma caused to the patient is smal , the operation is relatively simple, is not prone to complications after surgery , while a case is lost vertebral height appeared in the clinic, need a reasonable choice of surgical treatment modality .