齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
JOURNAL OF QIQIHAR MEDICAL COLLEGE
2015年
13期
1944-1945
,共2页
胸腰段脊柱骨折%椎弓根钉系统内固定%椎板间植骨术
胸腰段脊柱骨摺%椎弓根釘繫統內固定%椎闆間植骨術
흉요단척주골절%추궁근정계통내고정%추판간식골술
Thoracolumbar spine fractures%Pedicle screw fixation system%Lamina bone grafting pieces
目的：探讨不同固定方式治疗胸腰段脊柱骨折的临床效果。方法选取50例胸腰段脊柱骨折患者为研究对象，并随机分为对照组和观察组。对照组患者采用单纯的椎弓根钉系统内固定治疗方式，观察组患者则在对照组治疗基础上采用椎板间植骨联合治疗方法。观察记录术前、术后及最后随访椎管内占位、椎体前缘高度及Cobb角变化情况；另外，记录两组患者脊髓神经功能恢复情况及术后不良反应发生情况。结果观察组患者最后随访和术后椎管内占位、椎体前缘高度及Cobb角较术前具有明显的改善，且明显好于对照组患者（P＜0．05）；观察组患者脊髓神经功能恢复情况明显好于对照组患者（P＜0．05）；观察组1例发生不良反应，与对照组的3例比较差异无统计学意义（P＞0．05）。结论椎弓根钉系统内固定联合椎板间植骨术治疗胸腰段脊柱骨折临床效果显著，且安全性较高，值得进一步在临床中推广应用。
目的：探討不同固定方式治療胸腰段脊柱骨摺的臨床效果。方法選取50例胸腰段脊柱骨摺患者為研究對象，併隨機分為對照組和觀察組。對照組患者採用單純的椎弓根釘繫統內固定治療方式，觀察組患者則在對照組治療基礎上採用椎闆間植骨聯閤治療方法。觀察記錄術前、術後及最後隨訪椎管內佔位、椎體前緣高度及Cobb角變化情況；另外，記錄兩組患者脊髓神經功能恢複情況及術後不良反應髮生情況。結果觀察組患者最後隨訪和術後椎管內佔位、椎體前緣高度及Cobb角較術前具有明顯的改善，且明顯好于對照組患者（P＜0．05）；觀察組患者脊髓神經功能恢複情況明顯好于對照組患者（P＜0．05）；觀察組1例髮生不良反應，與對照組的3例比較差異無統計學意義（P＞0．05）。結論椎弓根釘繫統內固定聯閤椎闆間植骨術治療胸腰段脊柱骨摺臨床效果顯著，且安全性較高，值得進一步在臨床中推廣應用。
목적：탐토불동고정방식치료흉요단척주골절적림상효과。방법선취50례흉요단척주골절환자위연구대상，병수궤분위대조조화관찰조。대조조환자채용단순적추궁근정계통내고정치료방식，관찰조환자칙재대조조치료기출상채용추판간식골연합치료방법。관찰기록술전、술후급최후수방추관내점위、추체전연고도급Cobb각변화정황；령외，기록량조환자척수신경공능회복정황급술후불량반응발생정황。결과관찰조환자최후수방화술후추관내점위、추체전연고도급Cobb각교술전구유명현적개선，차명현호우대조조환자（P＜0．05）；관찰조환자척수신경공능회복정황명현호우대조조환자（P＜0．05）；관찰조1례발생불량반응，여대조조적3례비교차이무통계학의의（P＞0．05）。결론추궁근정계통내고정연합추판간식골술치료흉요단척주골절림상효과현저，차안전성교고，치득진일보재림상중추엄응용。
Objective To investigate the effects of different fixation method in the treatment of thoracolumbar fracture .Methods 50 cases of thoracolumbar spine fractures patients were selected as study objective and randomly divided into control group and observation group .Patients in control group were only given pedicle screw fixation , and patients in observation group were given lamina bone pieces combination therapy .The spinal placeholder , vertebral height and cobb angle changes of the two groups before surgery and after surgery and follow-up were observed .In addition , the neurological function recovery and adverse reactions of two groups were recorded .Results The spinal placeholder , vertebral height and cobb angle changes of observation group after surgery and last follow -up were significantly improved , and significantly better than that in the control group (P<0.05).The spinal nerves recovery of observation group was significantly better than control group (P<0. 05).The adverse reaction of observation group was occurred in only one case , which was not similar to control group (3 cases) (P>0.05).Conclusions The pedicle screw fixation combined with bone grafting can treat thoracolumbar fracture with significant efficacy and high security , worthy of further application in clinical practice.
