CAJ | 학술논문

目的：对比分析前、后路减压治疗胸腰段脊柱骨折合并脊髓损伤的临床效果。方法收集我院2011年8月至2013年8月期间诊治的胸腰段脊柱骨折合并脊髓损伤患者66例作为研究对象，以抛硬币的方式分为试验组与对照组，每组患者各33例。对照组患者采用后路减压手术治疗，试验组采用前路减压手术治疗，对两组患者的治疗效果进行分析对比。结果研究结果显示，试验组术后运动评分、触觉评分、伤椎高度、Cobb's角恢复情况明显优于对照组（P<0.05）。结论前路减压手术治疗胸腰段脊柱骨折合并脊髓损伤的临床效果优于后路减压治疗，能有效促进术后运动评分、触觉评分改善及伤椎高度、Cobb's角恢复，值得在临床应用上推广。
목적：대비분석전、후로감압치료흉요단척주골절합병척수손상적림상효과。방법수집아원2011년8월지2013년8월기간진치적흉요단척주골절합병척수손상환자66례작위연구대상，이포경폐적방식분위시험조여대조조，매조환자각33례。대조조환자채용후로감압수술치료，시험조채용전로감압수술치료，대량조환자적치료효과진행분석대비。결과연구결과현시，시험조술후운동평분、촉각평분、상추고도、Cobb's각회복정황명현우우대조조（P<0.05）。결론전로감압수술치료흉요단척주골절합병척수손상적림상효과우우후로감압치료，능유효촉진술후운동평분、촉각평분개선급상추고도、Cobb's각회복，치득재림상응용상추엄。
Objective?To?compare?the?therapeutic?effect?of?spinal?cord?injury?associated?with?anterior,?posterior?decompression?in?the?treatment?of?thoracolumbar?spinal?fracture.?Methods?In?our?hospital?from?2011?August?-2013?year?in?August?during?the?treatment?of?thoracolumbar?spinal?fracture?with?spinal?cord?injury?in?66?cases?as?the?research?object,?by?tossing?a?coin?into?the?experiment?group?and?the?control?group,?33?cases?of?patients?in?each?group.?The?control?group?were?treated?by?posterior?decompression?operation?treatment,?the?test?group?treated?with?anterior?decompression?operation,?comparing?two?groups?of?patients.?Results?The?experimental?group,??postoperative?motor?score,?touch?score,?vertebral?height,?Cobb's?angle?recovery?better?than?the?control?group(P<0.05).?Conclusion?The?clinical?effect?is?better?than?that?of?posterior?decompression?in?the?treatment?of?spinal?cord?injury?associated?with?anterior?decompression?operation?in?treatment?of?thoracolumbar?spine?fracture,?can?effectively?promote?the?postoperative?motor?score,?tactile?score?improvement?and?vertebral?height,?Cobb's?angle?recovery,?is?worthy?to?be?popularized?in?clinical?application.