中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
22期
70-72,75
,共4页
前路内固定融合术%后路内固定融合术%胸腰段脊柱骨折%效果
前路內固定融閤術%後路內固定融閤術%胸腰段脊柱骨摺%效果
전로내고정융합술%후로내고정융합술%흉요단척주골절%효과
Anterior fusion and fixation%Posterior fusion and fixation%Thoracolumbar spinal fracture%Effect
目的：观察比较不同手术入路内固定融合术治疗胸腰段脊柱骨折的效果。方法选取山东省寿光市人民医院2013年8月~2015年1月收治的84例胸腰段脊柱骨折患者，将所有患者随机分为前路组和后路组，每组42例。前路组采用前路内固定融合术，后路组采用后路内固定融合术。比较两组的临床疗效、手术时间、术中出血量、住院时间、运动与触觉评分以及术后并发症发生情况。结果前路组的总有效率为85.71%，后路组为95.24%，两组比较差异有统计学意义(P<0.05)。后路组的手术时间[(156.53±18.20)min]、住院时间[(10.26±2.42)d]明显短于前路组[(223.27±24.29)min、(15.33±3.25)d]，术中出血量[(634.47±37.95)ml]明显少于前路组[(986.25±42.73)ml]，差异均有统计学意义(P<0.05)。前路组与后路组患者治疗后的运动与触觉评分[(56.8±6.5)、(62.5±6.8)分；(63.2±7.1)、(65.3±7.7)分]均较治疗前[(37.3±4.2)、(46.5±6.1)分；(41.3±5.3)、(49.1±6.3)分]显著提高(P<0.05)，但两组治疗后的运动与触觉评分比较，差异无统计学意义(P跃0.05)。前路组的术后并发症发生率为4.76%，后路组为9.52%，两组比较差异无统计学意义(P跃0.05)。结论后路内固定融合术治疗胸腰段脊柱骨折的效果明显优于前路内固定，能明显缩短手术时间、住院时间，减少术中出血量，值得临床推广应用。
目的：觀察比較不同手術入路內固定融閤術治療胸腰段脊柱骨摺的效果。方法選取山東省壽光市人民醫院2013年8月~2015年1月收治的84例胸腰段脊柱骨摺患者，將所有患者隨機分為前路組和後路組，每組42例。前路組採用前路內固定融閤術，後路組採用後路內固定融閤術。比較兩組的臨床療效、手術時間、術中齣血量、住院時間、運動與觸覺評分以及術後併髮癥髮生情況。結果前路組的總有效率為85.71%，後路組為95.24%，兩組比較差異有統計學意義(P<0.05)。後路組的手術時間[(156.53±18.20)min]、住院時間[(10.26±2.42)d]明顯短于前路組[(223.27±24.29)min、(15.33±3.25)d]，術中齣血量[(634.47±37.95)ml]明顯少于前路組[(986.25±42.73)ml]，差異均有統計學意義(P<0.05)。前路組與後路組患者治療後的運動與觸覺評分[(56.8±6.5)、(62.5±6.8)分；(63.2±7.1)、(65.3±7.7)分]均較治療前[(37.3±4.2)、(46.5±6.1)分；(41.3±5.3)、(49.1±6.3)分]顯著提高(P<0.05)，但兩組治療後的運動與觸覺評分比較，差異無統計學意義(P躍0.05)。前路組的術後併髮癥髮生率為4.76%，後路組為9.52%，兩組比較差異無統計學意義(P躍0.05)。結論後路內固定融閤術治療胸腰段脊柱骨摺的效果明顯優于前路內固定，能明顯縮短手術時間、住院時間，減少術中齣血量，值得臨床推廣應用。
목적：관찰비교불동수술입로내고정융합술치료흉요단척주골절적효과。방법선취산동성수광시인민의원2013년8월~2015년1월수치적84례흉요단척주골절환자，장소유환자수궤분위전로조화후로조，매조42례。전로조채용전로내고정융합술，후로조채용후로내고정융합술。비교량조적림상료효、수술시간、술중출혈량、주원시간、운동여촉각평분이급술후병발증발생정황。결과전로조적총유효솔위85.71%，후로조위95.24%，량조비교차이유통계학의의(P<0.05)。후로조적수술시간[(156.53±18.20)min]、주원시간[(10.26±2.42)d]명현단우전로조[(223.27±24.29)min、(15.33±3.25)d]，술중출혈량[(634.47±37.95)ml]명현소우전로조[(986.25±42.73)ml]，차이균유통계학의의(P<0.05)。전로조여후로조환자치료후적운동여촉각평분[(56.8±6.5)、(62.5±6.8)분；(63.2±7.1)、(65.3±7.7)분]균교치료전[(37.3±4.2)、(46.5±6.1)분；(41.3±5.3)、(49.1±6.3)분]현저제고(P<0.05)，단량조치료후적운동여촉각평분비교，차이무통계학의의(P약0.05)。전로조적술후병발증발생솔위4.76%，후로조위9.52%，량조비교차이무통계학의의(P약0.05)。결론후로내고정융합술치료흉요단척주골절적효과명현우우전로내고정，능명현축단수술시간、주원시간，감소술중출혈량，치득림상추엄응용。
Objective To observe the effect of different surgical approach of fusion and fixation in the treatment of tho-racolumbar spinal fracture. Methods 84 cases of patients with thoracolumbar spinal fractures admitted into Shouguang People’s Hospital of Shandong Province from August 2013 to January 2015 were selected and randomly divided into anterior group and posterior group,and there were 42 cases in each group.The anterior group was given anterior fusion and fixation,while the posterior group was given posterior fusion and fixation.The clinical effect,operation time,intraop-eratve blood loss,length of stay,movement and tactile score and incidence of postoperative complication between two groups was observed and compared respectively. Results The total effective rate of anterior group was 85.71%,which of posterior group was 95.24%,the difference was statistically significant (P<0.05).The operation time [(156.53±18.20) min] and length of stay [(10.26±2.42) d] of posterior group was significantly shorter than that of anterior group [(223.27±24.29) min, (15.33±3.25) d] respectively,the intraoperative blood loss [(634.47±37.95) ml] was significantly less than that of anterior group [(986.25±42.73)ml],the differences were all statistically significant (P<0.05).The movement and tactile score after treatment of anterior group and posterior group [(56.8±6.5),(62.5±6.8) points; (63.2±7.1),(65.3±7.7) points] were all increased significantly than before treatment [(37.3±4.2),(46.5±6.1) points; (41.3±5.3),(49.1±6.3) points] (P<0.05),while there were no significant difference of movement and tactile score between two groups after treatment (P>0.05).The incidence rate of postoperative complication in anterior group was 4.76%,which of posterior group was 9.52%,the difference was not statistically significant (P>0.05). Conclusion Posterior fusion and fixation in the treatment of thoracolumbar spinal fracture has better effect than anterior fusion and fixation,which can significantly shorten opera-tion time,length of stay,reduce intraoperative blood loss,which is worthy of clinical promotion and application.
