世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2014年
32期
43-43,46
,共2页
跨伤椎%经伤椎%脊柱骨折
跨傷椎%經傷椎%脊柱骨摺
과상추%경상추%척주골절
across-injured vertebra%through-injured vertebra%spinal fractures
目的：探讨跨伤椎置4钉固定脊柱骨折的临床疗效。方法选取2012年3月至2013年9月我院收治的脊柱骨折患者36例，其中采用跨伤椎置4钉固定患者18例（a 组），采用经伤椎置6钉固定患者18例（B 组），于术前、术后比较两组患者的椎管前缘高度、cobb 角、椎管占位。结果手术后两组患者的椎管前缘高度、cobb 角、椎管占位较手术前均有所改善（P<0.05）。B 组的椎管前缘高度、cobb 角改善优于 a 组，具有统计学差异（P<0.05），B 组的椎管占位较 a 组减少，但无统计学差异（P>0.05）。结论经伤椎置6钉固定术较跨伤椎置4钉固定治疗脊柱骨折的效果更佳，可较少伤椎高度的丢失和增强脊柱的稳定性。
目的：探討跨傷椎置4釘固定脊柱骨摺的臨床療效。方法選取2012年3月至2013年9月我院收治的脊柱骨摺患者36例，其中採用跨傷椎置4釘固定患者18例（a 組），採用經傷椎置6釘固定患者18例（B 組），于術前、術後比較兩組患者的椎管前緣高度、cobb 角、椎管佔位。結果手術後兩組患者的椎管前緣高度、cobb 角、椎管佔位較手術前均有所改善（P<0.05）。B 組的椎管前緣高度、cobb 角改善優于 a 組，具有統計學差異（P<0.05），B 組的椎管佔位較 a 組減少，但無統計學差異（P>0.05）。結論經傷椎置6釘固定術較跨傷椎置4釘固定治療脊柱骨摺的效果更佳，可較少傷椎高度的丟失和增彊脊柱的穩定性。
목적：탐토과상추치4정고정척주골절적림상료효。방법선취2012년3월지2013년9월아원수치적척주골절환자36례，기중채용과상추치4정고정환자18례（a 조），채용경상추치6정고정환자18례（B 조），우술전、술후비교량조환자적추관전연고도、cobb 각、추관점위。결과수술후량조환자적추관전연고도、cobb 각、추관점위교수술전균유소개선（P<0.05）。B 조적추관전연고도、cobb 각개선우우 a 조，구유통계학차이（P<0.05），B 조적추관점위교 a 조감소，단무통계학차이（P>0.05）。결론경상추치6정고정술교과상추치4정고정치료척주골절적효과경가，가교소상추고도적주실화증강척주적은정성。
Objective to investigate the clinical effect of spinal fractures fixed by four nails across-injured vertebra. Methods 36 cases of patients with spinal fractures admitted in our hospital from March 2012 to september 2013 were selected. They were randomly divided into two groups, each of 18 cases. Group A was fixed by four nails across-injured vertebra, and group B was fixed by six nails through-injured vertebra. Before and after the surgery, the height of spinal leading edge, Cobb angle and spinal canal space occupying of two groups were compared.Results after the surgery, the height of spinal leading edge, cobb angle and spinal canal space occupying of the two groups were improved(P<0.05). and in group B, the height of spinal leading edge and Cobb angle were significantly improved, compared with group A(P<0.05), with statistical difference. The spinal canal space occupying in group B was reduced, compared with group A, but there was no significant difference in spinal canal between the two groups(P>0.05).Conclusion The fixation of six nails through-injured vertebra showed better spine stability and less vertebral height loss than four nails for across-injured vertebra.
