中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
13期
119-121,122
,共4页
椎旁肌间隙入路%伤椎植骨%固定治疗%胸腰椎爆裂性骨折
椎徬肌間隙入路%傷椎植骨%固定治療%胸腰椎爆裂性骨摺
추방기간극입로%상추식골%고정치료%흉요추폭렬성골절
The road by paraspinal muscle%Injured vertebral bone%Fixation%Thoracolumbar burst fractures
目的：对经椎旁肌间隙入路伤椎植骨内固定治疗胸腰椎爆裂性骨折患者的临床治疗效果进行观察和分析。方法：从本院自2008年9月-2012年3月收治的所有胸腰椎爆裂性骨折患者中，随机抽样96例患者进行疗效观察，并将抽样样本按随机数字表法分成对照组和观察组，每组48例。其中对照组患者采用常规的入路开放手术进行治疗，观察组的患者则采用经椎旁肌间隙入路伤椎植骨内固定方法进行治疗。结果：观察组患者手术的耐受性都很好，70~110 min，手术的平均出血量为（150.8±18.4）mL，且所有患者在手术中没有出现并发症。手术完成之后，本组患者在24~48 h之内就可以下床进行活动，在术后两年内接受回访的患者恢复情况良好，内固定去除之后有5例出现骨折部位二次塌陷的问题。对照组在手术中有3例无法耐受手术，手术时间为80~130 min，平均出血量（235.4±25.4）mL，有4例患者在手术后出现并发症。手术完成之后患者一般在72 h左右能下床进行活动。术后两年内接受回访发现，本组患者在内固定去除之后，有13例出现骨折部位的二次塌陷。经过对比，观察组临床治疗效果要明显优于对照组。结论：采用经椎旁肌间隙入路伤椎植骨内固定治疗对胸腰椎爆裂性骨折患者具有较好的临床治疗效果，和常规的入路开放手术相比，具有损伤小、近期效果好的优势。
目的：對經椎徬肌間隙入路傷椎植骨內固定治療胸腰椎爆裂性骨摺患者的臨床治療效果進行觀察和分析。方法：從本院自2008年9月-2012年3月收治的所有胸腰椎爆裂性骨摺患者中，隨機抽樣96例患者進行療效觀察，併將抽樣樣本按隨機數字錶法分成對照組和觀察組，每組48例。其中對照組患者採用常規的入路開放手術進行治療，觀察組的患者則採用經椎徬肌間隙入路傷椎植骨內固定方法進行治療。結果：觀察組患者手術的耐受性都很好，70~110 min，手術的平均齣血量為（150.8±18.4）mL，且所有患者在手術中沒有齣現併髮癥。手術完成之後，本組患者在24~48 h之內就可以下床進行活動，在術後兩年內接受迴訪的患者恢複情況良好，內固定去除之後有5例齣現骨摺部位二次塌陷的問題。對照組在手術中有3例無法耐受手術，手術時間為80~130 min，平均齣血量（235.4±25.4）mL，有4例患者在手術後齣現併髮癥。手術完成之後患者一般在72 h左右能下床進行活動。術後兩年內接受迴訪髮現，本組患者在內固定去除之後，有13例齣現骨摺部位的二次塌陷。經過對比，觀察組臨床治療效果要明顯優于對照組。結論：採用經椎徬肌間隙入路傷椎植骨內固定治療對胸腰椎爆裂性骨摺患者具有較好的臨床治療效果，和常規的入路開放手術相比，具有損傷小、近期效果好的優勢。
목적：대경추방기간극입로상추식골내고정치료흉요추폭렬성골절환자적림상치료효과진행관찰화분석。방법：종본원자2008년9월-2012년3월수치적소유흉요추폭렬성골절환자중，수궤추양96례환자진행료효관찰，병장추양양본안수궤수자표법분성대조조화관찰조，매조48례。기중대조조환자채용상규적입로개방수술진행치료，관찰조적환자칙채용경추방기간극입로상추식골내고정방법진행치료。결과：관찰조환자수술적내수성도흔호，70~110 min，수술적평균출혈량위（150.8±18.4）mL，차소유환자재수술중몰유출현병발증。수술완성지후，본조환자재24~48 h지내취가이하상진행활동，재술후량년내접수회방적환자회복정황량호，내고정거제지후유5례출현골절부위이차탑함적문제。대조조재수술중유3례무법내수수술，수술시간위80~130 min，평균출혈량（235.4±25.4）mL，유4례환자재수술후출현병발증。수술완성지후환자일반재72 h좌우능하상진행활동。술후량년내접수회방발현，본조환자재내고정거제지후，유13례출현골절부위적이차탑함。경과대비，관찰조림상치료효과요명현우우대조조。결론：채용경추방기간극입로상추식골내고정치료대흉요추폭렬성골절환자구유교호적림상치료효과，화상규적입로개방수술상비，구유손상소、근기효과호적우세。
Objective: To observe and analyze road by paraspinal muscle injury vertebral fixation clinical outcomes in patients with thoracolumbar burst fractures of the bone graft.Method: Since September 2008 - March 2012 in our hospital all patients with thoracolumbar burst fractures, randomly selected 96 patients underwent curative effect observation as samples. The samples were randomly divided into control group and observation group, 48 cases in each group. Among the control group they were treated by conventional open surgery approach for treatment. The observation group was treated with the paraspinal muscle approach vertebral bone graft and internal fixation.Result: After treatment, observation group tolerance was very good, operation time was 70-110 minutes. The average blood loss was (150.8±18.4) mL, and all the patients had no complications during surgery. After the surgery completed, patients could get out of bed activities within 24-48 hours. Visited patients in two years found recovering well after surgery. After removal of internal fixation of the fracture site, 5 cases had appeared secondary collapse. 3 cases in the surgery couldn’t tolerate surgery in the control group. Operation time was 80-130 minutes, average blood loss was (235.4±25.4)mL, and 4 patients had complications after surgery. After operation patients generally got out of bed activities within 72 hours. Visited within two years after the removal of this group, including fixed, there were 13 cases of fracture site appeared secondary collapse. By comparison, effect of the observation group was significantly better than that of the control group.Conclusion: Adopted by the paraspinal muscle injury road vertebral bone graft and internal fixation of thoracolumbar burst fracture patients have better clinical outcomes, compared with conventional open surgery approach, more less damage, more good recent effect.
