中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
19期
2926-2928
,共3页
脊柱骨折%骨钉%骨折固定术,内%骨牵引复位法
脊柱骨摺%骨釘%骨摺固定術,內%骨牽引複位法
척주골절%골정%골절고정술,내%골견인복위법
Spinal fractures%Bone nails%Fracture fixation,internal%Skeletal traction reposition
目的：分析经伤椎椎弓根植骨置钉后路复位内固定治疗胸腰椎骨折的临床效果。方法将80例胸腰椎骨折患者根据随机数字表法分为研究组40例和对照组40例，研究组采经伤椎椎弓根植骨置钉后路复位内固定治疗，对照组采取常规跨伤椎的后路复位内固定术。比较两组手术时间、出血情况及临床疗效，分析经伤椎椎弓根植骨置钉后路复位内固定术治疗胸腰椎骨折的临床效果。结果研究组手术时间为（110．0±14．9）min，长于对照组的（91．0±13．7）min（t＝5．93，P＜0．05）；研究组、对照组术中出血量分别为（270．0±34．4）mL、（258．0±42．5）mL，两组差异无统计学意义（t＝1．38，P＞0．05）；研究组末次随访时术后伤椎前缘高度、Cobb角、VAS评分分别为（91．3±1．7）％、（11．2±1．9）°、（2．5±0．2）分，均优于对照组的（86．6±2．3）％、（14．5±1．1）°、（3．5±0．9）分（t＝5．25、3．24、6．17，均P＜0．05）。结论经伤椎椎弓根植骨置钉后路复位内固定术治疗胸腰椎骨折能够有效矫正脊柱后凸畸形、重建椎体高度、增加椎体的稳定性，减少和避免术后椎体高度丢失、内固定物松动及断裂等并发症的发生。
目的：分析經傷椎椎弓根植骨置釘後路複位內固定治療胸腰椎骨摺的臨床效果。方法將80例胸腰椎骨摺患者根據隨機數字錶法分為研究組40例和對照組40例，研究組採經傷椎椎弓根植骨置釘後路複位內固定治療，對照組採取常規跨傷椎的後路複位內固定術。比較兩組手術時間、齣血情況及臨床療效，分析經傷椎椎弓根植骨置釘後路複位內固定術治療胸腰椎骨摺的臨床效果。結果研究組手術時間為（110．0±14．9）min，長于對照組的（91．0±13．7）min（t＝5．93，P＜0．05）；研究組、對照組術中齣血量分彆為（270．0±34．4）mL、（258．0±42．5）mL，兩組差異無統計學意義（t＝1．38，P＞0．05）；研究組末次隨訪時術後傷椎前緣高度、Cobb角、VAS評分分彆為（91．3±1．7）％、（11．2±1．9）°、（2．5±0．2）分，均優于對照組的（86．6±2．3）％、（14．5±1．1）°、（3．5±0．9）分（t＝5．25、3．24、6．17，均P＜0．05）。結論經傷椎椎弓根植骨置釘後路複位內固定術治療胸腰椎骨摺能夠有效矯正脊柱後凸畸形、重建椎體高度、增加椎體的穩定性，減少和避免術後椎體高度丟失、內固定物鬆動及斷裂等併髮癥的髮生。
목적：분석경상추추궁근식골치정후로복위내고정치료흉요추골절적림상효과。방법장80례흉요추골절환자근거수궤수자표법분위연구조40례화대조조40례，연구조채경상추추궁근식골치정후로복위내고정치료，대조조채취상규과상추적후로복위내고정술。비교량조수술시간、출혈정황급림상료효，분석경상추추궁근식골치정후로복위내고정술치료흉요추골절적림상효과。결과연구조수술시간위（110．0±14．9）min，장우대조조적（91．0±13．7）min（t＝5．93，P＜0．05）；연구조、대조조술중출혈량분별위（270．0±34．4）mL、（258．0±42．5）mL，량조차이무통계학의의（t＝1．38，P＞0．05）；연구조말차수방시술후상추전연고도、Cobb각、VAS평분분별위（91．3±1．7）％、（11．2±1．9）°、（2．5±0．2）분，균우우대조조적（86．6±2．3）％、（14．5±1．1）°、（3．5±0．9）분（t＝5．25、3．24、6．17，균P＜0．05）。결론경상추추궁근식골치정후로복위내고정술치료흉요추골절능구유효교정척주후철기형、중건추체고도、증가추체적은정성，감소화피면술후추체고도주실、내고정물송동급단렬등병발증적발생。
Objective To analyze the clinical effects of vertebral pedicle bone graft after posterior pedicle screw fixation in the treatment of thoracolumbar fractures .Methods 80 cases with thoracolumbar fractures were ran-domly divided into the study group ( 40 cases ) and control group ( 40 cases ) .The study group used simple pedicle screw fixation , posterior reduction , and the control group adopted conventional inter vertebral internal fixation .The operation time,hemorrhage were compared between the two groups .The clinical effects of posterior transpedicular in-strumentation of bone graft and vertebral pedicle screw in fractured vertebra in the treatment of thoracolumbar fractures were analyzed.Results The operation time of study group was (110.0 ±14.9)min,which was longer than that of the control group[(91.0 ±13.7)min](t=5.93,P<0.05).The intraoperative blood loss of the study group and the control group were (270.0 ±34.4) mL,(258.0 ±42.5) mL,respectively,with no significant difference between the two groups(t=1.38,P>0.05).At the end of the follow-up after the operation,the anterior vertebral height,Cobbangle,VAS scores in the study group were (91.3 ±1.7)%,(11.2 ±1.9)°,(2.5 ±0.2)%,which were better than (86.6 ±2.3)%,(14.5 ±1.1)°,(3.5 ±0.9)% in the control group (t =5.25,3.24,6.17,all P <0.05). Conclusion Vertebral pedicle bone graft posterior pedicle screw fixation in the treatment of thoracolumbar fractures can effectively correct the kyphosis ,reconstruct vertebral height ,increase the stability of the vertebral body ,reduce and prevent postoperative vertebral height lost ,loosening and fracture fixation complications .
