CAJ | 학술논문

目的：探讨经后路不同减压术在胸腰椎爆裂性骨折治疗中的临床价值。方法：将2012年1月-2013年3月本院收治的胸腰椎爆裂性骨折患者84例按不同治疗方法分为试验组和对照组，每组各42例，试验组在常规治疗基础上采取后路固定间接减压术，对照组在常规治疗基础上采取后路固定直接减压术，综合比较两组治疗效果。结果：两组术后椎体高度比、椎管占位率及Cobb角均有较大改善，与术前比较差异均有统计学意义（P<0.05），但两组术后比较差异无统计学意义（P>0.05）；试验组独立生活率达66.67%，ASIA评级改善率达50.00%，与对照组比较差异均有统计学意义（P<0.05）。结论：间接减压术与直接减压术疗效相当，但间接减压术并发症较少、独立生活率高及神经功能改善较好，值得作为临床首选术式。
목적：탐토경후로불동감압술재흉요추폭렬성골절치료중적림상개치。방법：장2012년1월-2013년3월본원수치적흉요추폭렬성골절환자84례안불동치료방법분위시험조화대조조，매조각42례，시험조재상규치료기출상채취후로고정간접감압술，대조조재상규치료기출상채취후로고정직접감압술，종합비교량조치료효과。결과：량조술후추체고도비、추관점위솔급Cobb각균유교대개선，여술전비교차이균유통계학의의（P<0.05），단량조술후비교차이무통계학의의（P>0.05）；시험조독립생활솔체66.67%，ASIA평급개선솔체50.00%，여대조조비교차이균유통계학의의（P<0.05）。결론：간접감압술여직접감압술료효상당，단간접감압술병발증교소、독립생활솔고급신경공능개선교호，치득작위림상수선술식。
Objective:To investigate the clinical value of different decompression by posterior in the treatment of thoracolumbar burst fractures. Method:84 patients with thoracolumbar burst fractures in our hospital from January 2012 to March 2013 were divided into control group and experimental group by different treatment.The experimental group were treated with indirect decompression on the basis of routine treatment,while the control group were treated with direct decompression on the basis of routine treatment. Result:After surgery,the vertebral height ratio,Cobb angle,canal compromise rate of two group were greatly improved,there were significant difference compared with before surgery(P<0.05)and no significant difference between two groups(P>0.05). The independent living rate,the complication rate and the ASIA improvement rate of the experimental group were higher than the control group,there were significant difference between two group(P<0.05). Conclusion:Indirect decompression and direct decompression are equivalent on efficacy,but indirect decompression leads to a better aftermath and better neurological function,at the same time,the rate of independent living is higher than that of direct decompression,worthy to recommend its clinical use.