中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
3期
190-192
,共3页
后路内固定融合%前路内固定融合%脊柱胸腰段骨折
後路內固定融閤%前路內固定融閤%脊柱胸腰段骨摺
후로내고정융합%전로내고정융합%척주흉요단골절
Posterior internal fixation fusion%Anterior internal fixation fusion%Spinal fracture of thoracolumbar segments
目的:探讨后路内固定融合术治疗脊柱胸腰段骨折的临床应用价值。方法将2010年6月~2013年9月我院收治的脊柱胸腰段骨折患者83例按不同治疗术式分为试验组(47例,行后路内固定融合治疗)和对照组(36例,行前路内固定融合治疗),对两组患者治疗效果及围术期情况进行综合比较。结果(1)试验组治疗总有效率达到93.62%,明显高于对照组(75.0%)(P<0.05);(2)试验组手术耗时、住院时间、术中出血量、手术切口长度4项围术期指标均明显优于对照组(P<0.05);(3)试验组患者经手术治疗的Cobb角明显小于对照组患者治疗后的Cobb角,差异有统计学意义(P<0.05)。结论后路内固定融合术治疗脊柱胸腰段骨折效果显著,具有创伤小、恢复快、预后好等优点,值得临床推广应用。
目的:探討後路內固定融閤術治療脊柱胸腰段骨摺的臨床應用價值。方法將2010年6月~2013年9月我院收治的脊柱胸腰段骨摺患者83例按不同治療術式分為試驗組(47例,行後路內固定融閤治療)和對照組(36例,行前路內固定融閤治療),對兩組患者治療效果及圍術期情況進行綜閤比較。結果(1)試驗組治療總有效率達到93.62%,明顯高于對照組(75.0%)(P<0.05);(2)試驗組手術耗時、住院時間、術中齣血量、手術切口長度4項圍術期指標均明顯優于對照組(P<0.05);(3)試驗組患者經手術治療的Cobb角明顯小于對照組患者治療後的Cobb角,差異有統計學意義(P<0.05)。結論後路內固定融閤術治療脊柱胸腰段骨摺效果顯著,具有創傷小、恢複快、預後好等優點,值得臨床推廣應用。
목적:탐토후로내고정융합술치료척주흉요단골절적림상응용개치。방법장2010년6월~2013년9월아원수치적척주흉요단골절환자83례안불동치료술식분위시험조(47례,행후로내고정융합치료)화대조조(36례,행전로내고정융합치료),대량조환자치료효과급위술기정황진행종합비교。결과(1)시험조치료총유효솔체도93.62%,명현고우대조조(75.0%)(P<0.05);(2)시험조수술모시、주원시간、술중출혈량、수술절구장도4항위술기지표균명현우우대조조(P<0.05);(3)시험조환자경수술치료적Cobb각명현소우대조조환자치료후적Cobb각,차이유통계학의의(P<0.05)。결론후로내고정융합술치료척주흉요단골절효과현저,구유창상소、회복쾌、예후호등우점,치득림상추엄응용。
Objective To discuss the clinical application value of posterior internal fixation fusion (PIFF) on spinal fracture of thoracolumbar segments (SFTS). Methods 83 cases of SFTS patients who were admitted into our hospital from Jun.2010 to Sep.2013 divided into test group (47 cases, treated with PIFF) and control group (36 cases, anterior internal fixation fusion, AIFF), the effect and perioperative situation of two groups were compared. Results (1) The total effective rate of test group was 93.62%, and obviously higher than control group with 75% (P<0.05). (2) The time consumption, hospital stays, intraoperative bleeding, operative incision lengths of test groupwere obviously superior to control group (P < 0.05). (3) The Cobb corner of test group after operation was obviously smaller than control group (P < 0.05). Conclusion The PIFF has an obvious effect on SFTS, and also has advantage of less trauma, quick recovery and good prognosis, it worth to be promoted in clinical.