CAJ | 학술논문

目的：探讨新型脊柱外固定器联合经皮椎体内植骨术治疗胸腰椎爆裂性骨折的疗效。方法：共纳入100例胸腰椎爆裂性骨折患者，采用随机数字法平均分为两组，A组给予新型脊柱外固定器措施；B组给予新型脊柱外固定器联合经皮椎体内植骨术治疗措施。所有患者均行影像学观察与测量随访3个月。结果：两组患者治疗后，Cobb’s角、椎体前缘高度的压缩率、椎管狭窄率均有明显改善，与治疗相比差异有统计学意义（P＜0．05）；但新型脊柱外固定器联合经皮椎体内植骨术组疗效明显优于内固定组，差异有统计学意义（P＜0．05）。手术后两组患者神经功能均达B级以上，C级例数比较差异无统计学意义（P＞0．05），但D级及 E级比较差异有统计学意义（P＜0．05）。结论：对胸腰椎爆裂性骨折采用新型脊柱外固定器联合经皮椎体内植骨术治疗不仅可以明显改善患者的症状，减少神经功能的进一步损伤，且可以提高患者术后的生活质量，值得临床推广应用。
목적：탐토신형척주외고정기연합경피추체내식골술치료흉요추폭렬성골절적료효。방법：공납입100례흉요추폭렬성골절환자，채용수궤수자법평균분위량조，A조급여신형척주외고정기조시；B조급여신형척주외고정기연합경피추체내식골술치료조시。소유환자균행영상학관찰여측량수방3개월。결과：량조환자치료후，Cobb’s각、추체전연고도적압축솔、추관협착솔균유명현개선，여치료상비차이유통계학의의（P＜0．05）；단신형척주외고정기연합경피추체내식골술조료효명현우우내고정조，차이유통계학의의（P＜0．05）。수술후량조환자신경공능균체B급이상，C급례수비교차이무통계학의의（P＞0．05），단D급급 E급비교차이유통계학의의（P＜0．05）。결론：대흉요추폭렬성골절채용신형척주외고정기연합경피추체내식골술치료불부가이명현개선환자적증상，감소신경공능적진일보손상，차가이제고환자술후적생활질량，치득림상추엄응용。
Objective :To investigate the clinical curative effect of thoracolumbar vertebral burst fractures after neotype external spinal skeletal fixation and percutaneous vertebral bone graft .Methods :Participants included 100 patients with thoracolumbar burst fracture ,the random number method average divided into two groups ,A group of give new spinal external fixator measures ;Group B give new spinal external fixator joint percutaneous vertebra reduction using bone graft treatment measures .All of the patients do imaging observation and measurement follow-up of 3 months .Results:Two groups of patients after treatment ,Cobb’s Angle ,the bottom edge of the height of the compression ratio ,stenosis rate will be improved obviously ,and treatment are statistically significant difference in (P<0 .05);But new spinal ex-ternal fixator joint percutaneous vertebra reduction using bone graft group had better effects than internal fixation group ,the difference was statistically significant (P<0 .05) .Two groups of patients after surgery neural function all of above grade B ,C level number was not statistically significant comparative differences (P>0 .05) ,but D level and grade E comparing statistical significance (P<0 .05) .Conclusion:To thoracolumbar burst fracture spine by new exter-nal fixator joint percutaneous vertebra reduction using bone graft treatment can not only significantly improve patients with symptoms ,reduce further damage of neurological function ,and can improve the quality of life of patients who un-derwent the ,worth clinical application .