中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
29期
63-65
,共3页
申练兵%谭俊铭%王金鑫%张颉峰%方良勤%吴福政%邢顺民%何翔%来津
申練兵%譚俊銘%王金鑫%張頡峰%方良勤%吳福政%邢順民%何翔%來津
신련병%담준명%왕금흠%장힐봉%방량근%오복정%형순민%하상%래진
椎弓根螺钉%单节段%胸腰椎
椎弓根螺釘%單節段%胸腰椎
추궁근라정%단절단%흉요추
Pedicle screws%Single segment%Thoracolumbar fracture
目的 研究单节段内固定术治疗胸腰椎骨折的手术方法与临床疗效.方法 将90例胸腰椎骨折患者按随机数字表法分为观察组(单节段内固定术)和对照组(双节段内固定术),每组45例,比较两组手术情况、术后疼痛程度、矫正情况、伤椎相邻椎关节病变情况等.结果 观察组手术时间、出血量、切口长度、术后疼痛发生率、上节段和下节段间盘退变发生率明显少于对照组[(107.93±2.75) min比(132.68±2.81) min、(198.44±9.17)ml比(314.18±8.73)ml、(8.36±1.15)cm比(12.33±1.08) cm、8.89％(4/45)比26.67％(12/45)、6.67％(3/45)比22.22％(10/45)和4.44％(2/45)比20.00％(9/45)],差异有统计学意义(P＜0.01).两组矫正情况比较差异无统计学意义(P＞0.05).结论 在症状适宜的情况下,单节段内固定术治疗胸腰椎骨折效果突出,术后患者恢复状况好,术后并发症少,远期不良影响轻微,建议在临床中推广应用.
目的 研究單節段內固定術治療胸腰椎骨摺的手術方法與臨床療效.方法 將90例胸腰椎骨摺患者按隨機數字錶法分為觀察組(單節段內固定術)和對照組(雙節段內固定術),每組45例,比較兩組手術情況、術後疼痛程度、矯正情況、傷椎相鄰椎關節病變情況等.結果 觀察組手術時間、齣血量、切口長度、術後疼痛髮生率、上節段和下節段間盤退變髮生率明顯少于對照組[(107.93±2.75) min比(132.68±2.81) min、(198.44±9.17)ml比(314.18±8.73)ml、(8.36±1.15)cm比(12.33±1.08) cm、8.89％(4/45)比26.67％(12/45)、6.67％(3/45)比22.22％(10/45)和4.44％(2/45)比20.00％(9/45)],差異有統計學意義(P＜0.01).兩組矯正情況比較差異無統計學意義(P＞0.05).結論 在癥狀適宜的情況下,單節段內固定術治療胸腰椎骨摺效果突齣,術後患者恢複狀況好,術後併髮癥少,遠期不良影響輕微,建議在臨床中推廣應用.
목적 연구단절단내고정술치료흉요추골절적수술방법여림상료효.방법 장90례흉요추골절환자안수궤수자표법분위관찰조(단절단내고정술)화대조조(쌍절단내고정술),매조45례,비교량조수술정황、술후동통정도、교정정황、상추상린추관절병변정황등.결과 관찰조수술시간、출혈량、절구장도、술후동통발생솔、상절단화하절단간반퇴변발생솔명현소우대조조[(107.93±2.75) min비(132.68±2.81) min、(198.44±9.17)ml비(314.18±8.73)ml、(8.36±1.15)cm비(12.33±1.08) cm、8.89％(4/45)비26.67％(12/45)、6.67％(3/45)비22.22％(10/45)화4.44％(2/45)비20.00％(9/45)],차이유통계학의의(P＜0.01).량조교정정황비교차이무통계학의의(P＞0.05).결론 재증상괄의적정황하,단절단내고정술치료흉요추골절효과돌출,술후환자회복상황호,술후병발증소,원기불량영향경미,건의재림상중추엄응용.
Objective To study the surgical method and clinical curative effect analysis of single segmental vertebral pedicle screws fixation in treatment of thoracolumbar fracture.Methods Ninety patients with thoracolumbar fractures were enrolled in this study and they were divided into two groups by digital method:observation group (single segmental vertebral pedicle screws fixation) and control group (vertebral pedicle screw double segmental fixation),each 45 patients.The intraoperative conditions,low back pain following surgery,injury vertebral corrective situation,peripheral segment degeneration were compared between two groups.Results The operative time,intraoperative blood loss,length of incision,incidence of pain,adjacent segment disc degeneration rate in observation group were significantly lower than those in control group [(107.93 ± 2.75) min vs.(132.68 ± 2.81) min,(198.44 ± 9.17) ml vs.(314.18 ± 8.73) ml,(8.36 ± 1.15) cm vs.(12.33 ± 1.08) em,8.89％(4/45) vs.26.67％ (12/45),6.67％ (3/45) vs.22.22％ (10/45),4.44％ (2/45) vs.20.00％ (9/45)] (P ＜0.01).The modification between two groups had no significant difference (P ＞ 0.05).Conclusion The symptoms in appropriate cases,the treatment effect of single segmental vertebral pedicle screws fixation is outstanding,good postoperative recovery,less postoperative complication,long-term mild adverse,and it is recommended in clinical application.
