中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
1期
13-14
,共2页
脊柱创伤%胸腰椎骨折%椎弓根植骨
脊柱創傷%胸腰椎骨摺%椎弓根植骨
척주창상%흉요추골절%추궁근식골
Spinal injury%Thoracolumbar fractures%Pedicle bone graft
目的：探讨脊柱创伤病的诊断和治疗方法。方法回顾性分析2010年11月~2013年11月本院收治的80例脊柱创伤病患者，在行X线、CT及MRI检查，全面了解患者术前脊柱受损情况后，对患者行椎弓根植骨术进行治疗，比较患者术前以及术后一个月后的伤椎椎体前后缘压缩率、Cobb角，并观察神经功能、脊柱活动度等的恢复情况。结果相比于术前，手术一个月后的椎体前缘、后缘的压缩率以及Cobb角均显著降低；并且患者伤椎的脊髓神经功能恢复效果良好。结论术前对患者行CT、MRI联合诊断，并采用椎弓根植骨术以及钉棒固定术，这对于治疗脊柱创伤病具有较好的临床疗效，值得临床推广。
目的：探討脊柱創傷病的診斷和治療方法。方法迴顧性分析2010年11月~2013年11月本院收治的80例脊柱創傷病患者，在行X線、CT及MRI檢查，全麵瞭解患者術前脊柱受損情況後，對患者行椎弓根植骨術進行治療，比較患者術前以及術後一箇月後的傷椎椎體前後緣壓縮率、Cobb角，併觀察神經功能、脊柱活動度等的恢複情況。結果相比于術前，手術一箇月後的椎體前緣、後緣的壓縮率以及Cobb角均顯著降低；併且患者傷椎的脊髓神經功能恢複效果良好。結論術前對患者行CT、MRI聯閤診斷，併採用椎弓根植骨術以及釘棒固定術，這對于治療脊柱創傷病具有較好的臨床療效，值得臨床推廣。
목적：탐토척주창상병적진단화치료방법。방법회고성분석2010년11월~2013년11월본원수치적80례척주창상병환자，재행X선、CT급MRI검사，전면료해환자술전척주수손정황후，대환자행추궁근식골술진행치료，비교환자술전이급술후일개월후적상추추체전후연압축솔、Cobb각，병관찰신경공능、척주활동도등적회복정황。결과상비우술전，수술일개월후적추체전연、후연적압축솔이급Cobb각균현저강저；병차환자상추적척수신경공능회복효과량호。결론술전대환자행CT、MRI연합진단，병채용추궁근식골술이급정봉고정술，저대우치료척주창상병구유교호적림상료효，치득림상추엄。
Objective To analyze the diagnosis ang treatment of thoracolumbar fractures. Methods To retrospectively analyze the clinical data of 80 patients adopted by our hospital during Nov. 2011 and Nov. 2013, and all patients were treated by posterior pedicle bone graft and pedicle screw fixation and be treated with decompression. X ray, CT and MRI should be done at the time of preoperative, immediate postoperative and follow-up. Measuring and comparing with vertebral and anterior vertebral compression rate and the Cobb angle of injury vertebral devices patients, and observing the neurologic and spinal recovery of activity, etc. Results It showed that vertebral compression, spinal canal encroachment rate and the Cobb angle improved compared with before surgery significantly(P<0.01), and all patients gained better neurologic and spinal recovery of activity. Conclusion The combination of X ray, CT and MRI with posterior pedicle bone graft and pedicle screw fixation have better clinical efficacy, and worthy of clinical promotion.
