CAJ | 학술논문

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。
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.