CAJ | 학술논문

目的：分析、研究伤椎置钉术在治疗胸腰椎骨折中的治疗效果。方法随机选取该院150例患有胸腰椎骨折的患者,严格控制单一变量,将患者分为对照组和伤椎置钉术组,对照组的患者进行传统的上下邻椎置钉术的疗法,胸腰椎骨折组采用伤椎置钉术的疗法,对比、分析两组患者在手术中和手术后的治疗情况、恢复情况。结果对照组的手术时间(143.2±6.3)min明显长于伤椎置钉术组的手术时间(125.6±5.7)min,对照组的手术切口长度(12.6±3.7)cm长于伤椎置钉术组的手术切口长度(12.2±3.2)cm,手术中出血量(11.5±3.6)mL多于伤椎置钉术组的手术出血量(3.9±1.5),手术后住院时间(8.3±4.5)h长于伤椎置钉术组的术后住院时间(4.9±3.5)h.在出院持续恢复过程中,伤椎置钉术组患者的伤椎高度,逐步得到恢复,患者手术切口处均Ⅰ期愈合,通过3~6个月的时间,患者的骨折均愈合,并且没有出现感染等术后并发症,伤椎的压缩畸形也得到有效的矫正。并且在之后的检查中,已恢复的伤椎体高度没有出现明显的回缩,矫正角度没有出现明显的丢失。结论相对比传统的上下相邻椎置钉术,可以清楚的看到伤椎置钉术在进行胸腰椎骨折的治疗时,手术切口面积小,手术用时相对较短,手术后恢复显著。使用伤椎置钉术治疗胸腰椎骨折是科学、有效地治疗方法,注重手术操作要点,可以大大的提高术后的恢复程度和矫正效果。
목적：분석、연구상추치정술재치료흉요추골절중적치료효과。방법수궤선취해원150례환유흉요추골절적환자,엄격공제단일변량,장환자분위대조조화상추치정술조,대조조적환자진행전통적상하린추치정술적요법,흉요추골절조채용상추치정술적요법,대비、분석량조환자재수술중화수술후적치료정황、회복정황。결과대조조적수술시간(143.2±6.3)min명현장우상추치정술조적수술시간(125.6±5.7)min,대조조적수술절구장도(12.6±3.7)cm장우상추치정술조적수술절구장도(12.2±3.2)cm,수술중출혈량(11.5±3.6)mL다우상추치정술조적수술출혈량(3.9±1.5),수술후주원시간(8.3±4.5)h장우상추치정술조적술후주원시간(4.9±3.5)h.재출원지속회복과정중,상추치정술조환자적상추고도,축보득도회복,환자수술절구처균Ⅰ기유합,통과3~6개월적시간,환자적골절균유합,병차몰유출현감염등술후병발증,상추적압축기형야득도유효적교정。병차재지후적검사중,이회복적상추체고도몰유출현명현적회축,교정각도몰유출현명현적주실。결론상대비전통적상하상린추치정술,가이청초적간도상추치정술재진행흉요추골절적치료시,수술절구면적소,수술용시상대교단,수술후회복현저。사용상추치정술치료흉요추골절시과학、유효지치료방법,주중수술조작요점,가이대대적제고술후적회복정도화교정효과。
ObjectiveAnalysis, study the clinical results of pedicle screws in the treatment of thoracolumbar vertebral fracture. Methods Randomly selected in our hospital 150 patients with thoracolumbar fractures, strict control of a single variable, the patients were divided into the control group and the pedicle nailing group, control group patients were the traditional up and down adjacent pedicle screw surgery therapy, group with vertebral pedicle screw surgery therapy of thoracic and lumbar vertebra fracture, contrast, analysis of two groups of patients in the treatment of operation and after operation, the recovery situation.Results The operation time of the control group (143.2 + 6.3) min was significantly longer than the pedicle surgical time nailing group (125.6 + 5.7) min, the length of incision in the control group (12.6 + 3.7) cm longer than the pedicle of incision length nailing group (12.2 + 3.2) cm, the amount of bleeding during operation (11.5 + 3.6) ml than pedicle nailing group the amount of hemorrhage (3.9 + 1.5), the time of hospitalization after operation (8.3 + 4.5) the duration of hospitalization was h longer than the pedicle nailing group after operation (4.9 + 3.5) h. In the hospital sustained recovery process, vertebral pedicle screw surgery patients in vertebral height,Patients with operation incision healed primarily, by three to six months, patients with fractures were healed, and no postoperative complications such as infection, gradually recovered, the injury vertebral compression deformation also get effective correction. And after the inspection, has been the restoration of vertebral height does not appear obvious retraction, no obvious loss of correction angle.Conclusions Relative than traditional up and down adjacent vertebral placement, can see the vertebral pedicle screw technique in the treatment of thoracic and lumbar fracture when clear, operation incision operation with small area, relatively short, recovered significantly after operation. The use of pedicle screws in treatment of fractures of the thoracic lumbar is scientific, effective treatment method, pay attention to the operation key points of operation, can greatly improve the degree of recovery after operation and orthodontic effect.