中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
4期
607-608,610
,共3页
胸腰椎爆裂骨折%椎间盘损伤%植骨融合
胸腰椎爆裂骨摺%椎間盤損傷%植骨融閤
흉요추폭렬골절%추간반손상%식골융합
Thoracolumbar burst fractures%Disc injury%Fusion
目的：对比研究椎间孔椎体间植骨融合(TLIF)与经后外侧植骨融合(PLF)治疗胸腰椎爆裂骨折伴椎间盘损伤的临床疗效。方法：选取我院2010年5月~2012年5月收治的80例胸腰椎爆裂骨折伴椎间盘损伤患者作为研究对象,按手术方式分为TLIF组(椎间孔椎体间植骨融合治疗)和PLF组(经后外侧植骨融合治疗),就两组患者手术情况及术后随访恢复性指标进行比较。结果：(1)TLIF组患者手术时间为(176±30)min,PLF组患者平均手术时间为(170±24)min；TLIF组患者术中出血量为(455±43)ml,PLF组患者术中出血量为(435±56)ml；两组患者手术时间及术中出血量比较差异无统计学意义(P>0.05)；(2)TLIF组40例患者均融合成功,融合率达到100%,PLF组40例患者仅31例成功融合,融合率为77.5%,两组患者植骨融合率比较有明显差异(P<0.05)；(3)TLIF组术后1月、12月的的椎体压缩率及Cobb角均明显优于PLF组(P<0.05),提示TLIF组患者远期恢复效果更佳。结论：椎间孔椎体间植骨融合治疗胸腰椎爆裂骨折伴椎间盘损伤具有植骨融合率高、远期恢复效果显著等优点,临床疗效优于经后外侧植骨融合。
目的：對比研究椎間孔椎體間植骨融閤(TLIF)與經後外側植骨融閤(PLF)治療胸腰椎爆裂骨摺伴椎間盤損傷的臨床療效。方法：選取我院2010年5月~2012年5月收治的80例胸腰椎爆裂骨摺伴椎間盤損傷患者作為研究對象,按手術方式分為TLIF組(椎間孔椎體間植骨融閤治療)和PLF組(經後外側植骨融閤治療),就兩組患者手術情況及術後隨訪恢複性指標進行比較。結果：(1)TLIF組患者手術時間為(176±30)min,PLF組患者平均手術時間為(170±24)min；TLIF組患者術中齣血量為(455±43)ml,PLF組患者術中齣血量為(435±56)ml；兩組患者手術時間及術中齣血量比較差異無統計學意義(P>0.05)；(2)TLIF組40例患者均融閤成功,融閤率達到100%,PLF組40例患者僅31例成功融閤,融閤率為77.5%,兩組患者植骨融閤率比較有明顯差異(P<0.05)；(3)TLIF組術後1月、12月的的椎體壓縮率及Cobb角均明顯優于PLF組(P<0.05),提示TLIF組患者遠期恢複效果更佳。結論：椎間孔椎體間植骨融閤治療胸腰椎爆裂骨摺伴椎間盤損傷具有植骨融閤率高、遠期恢複效果顯著等優點,臨床療效優于經後外側植骨融閤。
목적：대비연구추간공추체간식골융합(TLIF)여경후외측식골융합(PLF)치료흉요추폭렬골절반추간반손상적림상료효。방법：선취아원2010년5월~2012년5월수치적80례흉요추폭렬골절반추간반손상환자작위연구대상,안수술방식분위TLIF조(추간공추체간식골융합치료)화PLF조(경후외측식골융합치료),취량조환자수술정황급술후수방회복성지표진행비교。결과：(1)TLIF조환자수술시간위(176±30)min,PLF조환자평균수술시간위(170±24)min；TLIF조환자술중출혈량위(455±43)ml,PLF조환자술중출혈량위(435±56)ml；량조환자수술시간급술중출혈량비교차이무통계학의의(P>0.05)；(2)TLIF조40례환자균융합성공,융합솔체도100%,PLF조40례환자부31례성공융합,융합솔위77.5%,량조환자식골융합솔비교유명현차이(P<0.05)；(3)TLIF조술후1월、12월적적추체압축솔급Cobb각균명현우우PLF조(P<0.05),제시TLIF조환자원기회복효과경가。결론：추간공추체간식골융합치료흉요추폭렬골절반추간반손상구유식골융합솔고、원기회복효과현저등우점,림상료효우우경후외측식골융합。
Objective: To compare the clinical efficacy between transforaminal interbody fusion(TLIF) and posterolateral fusion(PLF) in treating thoracolumbar burst fracture with disc injury.Methods:Slected 80 cases thoracolumbar burst fractures patients with disc injury admitted to our hospital from May 2010 to May 2012,divided them into TLIF group(transforaminal interbody fusion) and PLF group (posterolateral fusion),the surgical cases and prognosis were compared.Results:(1)The operation time and blood loss of TLIF group were (176±30)min,(455±43)ml,and which were (170±24)min,(435±56)ml of PLF group,there was no significant difference between the two groups((P>0.05);(2)The success rate of fusion in TLIF group was 100%,which was higher than that in PLF group(P<0.05);(3) There were significant differences about vertebral compression ratio and Cobb angle between two groups postoperative 1 months,12 months(P<0.05).Conclusion:Transforaminal interbody fusion has many advantages such as high success rate of fusion and significant forward-recovery effect.
