中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
14期
86-87
,共2页
张修儒%高延征%高坤%张永飞
張脩儒%高延徵%高坤%張永飛
장수유%고연정%고곤%장영비
快速体位复位%内固定%胸腰椎压缩骨折%临床疗效
快速體位複位%內固定%胸腰椎壓縮骨摺%臨床療效
쾌속체위복위%내고정%흉요추압축골절%림상료효
Rapid postural reduction%Internal fixation%Thoracolumbar compression fracture%Clinical curative effect
目的：通过观察快速体位复位联合内固定治疗胸腰椎压缩性骨折，为治疗胸腰椎压缩性骨折患者提供新思路。方法：选取符合纳入标准的胸腰椎压缩性骨折患者，在术前行快速体位复位，联合术中内固定治疗胸腰椎压缩性骨折。观察患者术前术后椎体前缘压缩率，疼痛感评分(VAS评分)，JOA评分，症状、体征计分，术后并发症，术中出血，手术时间等各项临床指标。结果：手术时间47～102 min，平均56 min；术中出血153～390 mL，平均187 mL；术后随访12～22个月，平均16个月。末次随访椎体前缘压缩率由术前(0.423±0.145)减少至(0.104±0.031)，VAS评分由术前(6.32±1.47)减少至(0.23±0.11)，JOA 评分由术前(14.21±1.82)增加至(27.93±0.96)，症状、体征计分由术前(16.73±1.31)减少至(2.13±0.29)。结论：快速体位复位联合内固定治疗胸腰椎压缩性骨折，能够理想恢复并维持椎体高度，临床并发症少，患者疼痛明显减轻，是治疗胸腰椎压缩性骨折的新思路。
目的：通過觀察快速體位複位聯閤內固定治療胸腰椎壓縮性骨摺，為治療胸腰椎壓縮性骨摺患者提供新思路。方法：選取符閤納入標準的胸腰椎壓縮性骨摺患者，在術前行快速體位複位，聯閤術中內固定治療胸腰椎壓縮性骨摺。觀察患者術前術後椎體前緣壓縮率，疼痛感評分(VAS評分)，JOA評分，癥狀、體徵計分，術後併髮癥，術中齣血，手術時間等各項臨床指標。結果：手術時間47～102 min，平均56 min；術中齣血153～390 mL，平均187 mL；術後隨訪12～22箇月，平均16箇月。末次隨訪椎體前緣壓縮率由術前(0.423±0.145)減少至(0.104±0.031)，VAS評分由術前(6.32±1.47)減少至(0.23±0.11)，JOA 評分由術前(14.21±1.82)增加至(27.93±0.96)，癥狀、體徵計分由術前(16.73±1.31)減少至(2.13±0.29)。結論：快速體位複位聯閤內固定治療胸腰椎壓縮性骨摺，能夠理想恢複併維持椎體高度，臨床併髮癥少，患者疼痛明顯減輕，是治療胸腰椎壓縮性骨摺的新思路。
목적：통과관찰쾌속체위복위연합내고정치료흉요추압축성골절，위치료흉요추압축성골절환자제공신사로。방법：선취부합납입표준적흉요추압축성골절환자，재술전행쾌속체위복위，연합술중내고정치료흉요추압축성골절。관찰환자술전술후추체전연압축솔，동통감평분(VAS평분)，JOA평분，증상、체정계분，술후병발증，술중출혈，수술시간등각항림상지표。결과：수술시간47～102 min，평균56 min；술중출혈153～390 mL，평균187 mL；술후수방12～22개월，평균16개월。말차수방추체전연압축솔유술전(0.423±0.145)감소지(0.104±0.031)，VAS평분유술전(6.32±1.47)감소지(0.23±0.11)，JOA 평분유술전(14.21±1.82)증가지(27.93±0.96)，증상、체정계분유술전(16.73±1.31)감소지(2.13±0.29)。결론：쾌속체위복위연합내고정치료흉요추압축성골절，능구이상회복병유지추체고도，림상병발증소，환자동통명현감경，시치료흉요추압축성골절적신사로。
Objective:By observing rapid postural reduction combined with internal fixation in the treatment of thoracolumbar compression fracture,to provide new ideas for the treatment of the patients with thoracolumbar compression fracture.Methods:The patients with thoracolumbar compression fracture in accordance with the inclusion criteria were selected.Before operation,the patients were given rapid postural reduction,and combined with internal fixation during operation in the treatment of thoracolumbar compression fracture.The fanterior edge compression rates, pain scores(VAS score),JOA scores,symptoms,signs scores and postoperative complications,intraoperative bleeding,operation time and other clinical indicators of patients were observed before and after the operation.Results:The operation time was 47~102 minutes,the average was 56 minutes,the intranperative bleeding was 153~390 mL,the average was 187 mL.Patients were followed up for 12~22 months after operation, the average was 16 months.In the last follow-up,the fanterior edge compression rate by preoperative (0.423±0.145) reduced to (0.104±0.031),preoperative VAS score (6.32±1.47) reduced to (0.23±0.11),preoperative JOA score (14.21±1.82) increased to (27.93±0.96),preoperative symptoms,signs scores (16.73±1.31) reduced to (2.13±0.29).Conclusion:Rapid postural reduction combined with internal fixation in the treatment of thoracolumbar compression fracture can ideal restore and maintain vertebral height,its clinical complications are less,the pain of patients is significantly reduced.It is a new way to treat thoracolumbar compression fracture.
