中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2014年
11期
68-69
,共2页
李涛%郭洪敏%田宝方%刘俊宾
李濤%郭洪敏%田寶方%劉俊賓
리도%곽홍민%전보방%류준빈
前路减压内固定%胸腰椎段骨折%脊髓损伤
前路減壓內固定%胸腰椎段骨摺%脊髓損傷
전로감압내고정%흉요추단골절%척수손상
Anterior decompression and internal fixation%Thoracolumbar fracture%Spinal cord injury
目的:探讨前路减压内固定对胸腰段骨折并发脊髓损伤患者运动功能的影响。方法将80例胸腰段骨折并发脊髓损伤患者分为前路减压内固定组(观察组)及后路融合手术组(对照组)各40例。观察2组患者治疗效果,并于治疗前后应用功能独立性评分表(FIM)、美国脊髓损伤协会评分(ASIS)、改良Barthel(MBI)评估康复效果。结果观察组总有效率97.50%,对照组为75.00%,2组比较差异有统计学意义(P<0.05)。2组治疗后ASIS运动功能评分、ASIS感觉评分、FIM评分及MBI评分显著提高,而治疗后观察组 ASIS评分、FIM 评分及 MBI评分均高于对照组,差异有统计学意义(P<0.05)。结论前路减压内固定手术能有效改善胸腰段骨折合并脊髓损伤患者运动功能,提高治疗效果。
目的:探討前路減壓內固定對胸腰段骨摺併髮脊髓損傷患者運動功能的影響。方法將80例胸腰段骨摺併髮脊髓損傷患者分為前路減壓內固定組(觀察組)及後路融閤手術組(對照組)各40例。觀察2組患者治療效果,併于治療前後應用功能獨立性評分錶(FIM)、美國脊髓損傷協會評分(ASIS)、改良Barthel(MBI)評估康複效果。結果觀察組總有效率97.50%,對照組為75.00%,2組比較差異有統計學意義(P<0.05)。2組治療後ASIS運動功能評分、ASIS感覺評分、FIM評分及MBI評分顯著提高,而治療後觀察組 ASIS評分、FIM 評分及 MBI評分均高于對照組,差異有統計學意義(P<0.05)。結論前路減壓內固定手術能有效改善胸腰段骨摺閤併脊髓損傷患者運動功能,提高治療效果。
목적:탐토전로감압내고정대흉요단골절병발척수손상환자운동공능적영향。방법장80례흉요단골절병발척수손상환자분위전로감압내고정조(관찰조)급후로융합수술조(대조조)각40례。관찰2조환자치료효과,병우치료전후응용공능독립성평분표(FIM)、미국척수손상협회평분(ASIS)、개량Barthel(MBI)평고강복효과。결과관찰조총유효솔97.50%,대조조위75.00%,2조비교차이유통계학의의(P<0.05)。2조치료후ASIS운동공능평분、ASIS감각평분、FIM평분급MBI평분현저제고,이치료후관찰조 ASIS평분、FIM 평분급 MBI평분균고우대조조,차이유통계학의의(P<0.05)。결론전로감압내고정수술능유효개선흉요단골절합병척수손상환자운동공능,제고치료효과。
Objective To investigate the effect of anterior decompression and internal fixation on the motor function of pa-tients with thoracolumbar fracture plus spinal cord injury.Methods Eighty patients with thoracolumbar fracture plus spinal cord injury were randomly divided into Group A treated by anterior decompression and internal fixation ,and Group B treated by posterior spinal fusion operation ,with 40 cases in each group.Clinical effect in both group were observed ,and FIM ,ASIS and MBI were applied to assess the efficacy before and after the treatment.Results The total effective rate in Group A was 97.50% ,while that in Group B was 75.00% ,with a significant difference (P<0.05). The scores of ASIS motor function , ASIS sense ,FIM and MBI in both groups were increased after treatment ,while the scores of ASIS ,FIM and MBI after treat-ment in Group A were significantly higher than those in Group B (P<0.05). Conclusion Anterior decompression and internal fixation is effective in improving the motor function and clinical effect of patients with thoracolumbar fracture plus spinal cord injury.