CAJ | 학술논문

目的：探讨胸腰椎段骨折采用后路内固定融合术治疗的效果。方法选取胸腰椎段骨折患者90例，研究组（50例）采用后路内固定融合术治疗，对照组（40例）采用前路内固定术治疗，对比两组术前术后神经功能与伤椎情况，手术效果以及不良情况。结果研究组的神经功能与伤椎情况改善均更显著；研究组总有效率为94.0%；对照组为82.5%；研究组不良情况率为2.0%，对照组为10.0%；研究组手术效果明显更优（ P＜0.05）。结论胸腰椎段骨折采用后路内固定融合术治疗，效果显著，安全性高，值得临床推广应用。
목적：탐토흉요추단골절채용후로내고정융합술치료적효과。방법선취흉요추단골절환자90례，연구조（50례）채용후로내고정융합술치료，대조조（40례）채용전로내고정술치료，대비량조술전술후신경공능여상추정황，수술효과이급불량정황。결과연구조적신경공능여상추정황개선균경현저；연구조총유효솔위94.0%；대조조위82.5%；연구조불량정황솔위2.0%，대조조위10.0%；연구조수술효과명현경우（ P＜0.05）。결론흉요추단골절채용후로내고정융합술치료，효과현저，안전성고，치득림상추엄응용。
Objective To discuss the curative effect of arthrodesis posterior internal fixation used in thoracic lumbar spine fractures. Methods 90 cases of patients with thoracic lumbar spine fractures were selected,the research group(50cases) were cured by arthrodesis posterior internal fixation,the control group(40cases)were cured by anterior fixation,then compared the situation of nerve function and injured vertebral before and after operation,surgical effect and adverse conditions. Results After the operation,the situation of nerve function and injured vertebral of the research group all improved more apparently;the total effective rate of the research group was 94.0%,and the rate of the control group was 82.5%;the rate of adverse situation of the research group was 2.0%.and the rate of the control group was 10.0%;the surgical effect of the research group was significantly better(P < 0.05). Conclusion The curative effect on arthrodesis posterior internal fixation used in thoracic lumbar spine fractures is significant,and there has high safety,it is worth promoting.