国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
18期
2717-2720
,共4页
胸腰段%脊椎骨折%椎体成形术%后路经椎弓根内固定
胸腰段%脊椎骨摺%椎體成形術%後路經椎弓根內固定
흉요단%척추골절%추체성형술%후로경추궁근내고정
Thoracolumbar spine%Spinal fracture%Vertebroplasty%Posterior pedicle screw fixation
目的 探讨后路经椎弓根内固定联合椎体成形术治疗老年人胸腰段脊椎骨折的临床疗效方法 选取我院2011年1月至2013年1月收治入院的老年胸腰段脊椎骨折患者采用椎体成形术联合后路经椎弓根内固定治疗50例作为研究对象.观察患者的手术情况及受损椎体高度的恢复情况、受损椎体的压缩率,测量患者的Cobb's角、椎管狭窄情况,记录患者术前术后的AMS评分情况及术后并发症的情况.结果 50例患者术后随访6～ 12个月,平均(10.5±1.3)个月.手术平均时间为(148.4 ± 75.3)min,术中平均透视时间(13.3±4.6)min,术中平均出血量(758.7±214.5)ml.术后患者的脊髓神经压迫情况得到明显的缓解,并且无脊髓神经功能恶化的情况发生,术后患者的AMS评分较术前有明显改善,患者椎体压缩比、椎管狭窄率及Cobb's角术后较术前有明显恢复(P＜0.05).结论 后路经椎弓根内固定联合椎体成形术治疗老年人胸腰段脊椎骨折具有疗效确切、椎体形态功能恢复佳、内固定稳定等特点,值得临床推广应用.
目的 探討後路經椎弓根內固定聯閤椎體成形術治療老年人胸腰段脊椎骨摺的臨床療效方法 選取我院2011年1月至2013年1月收治入院的老年胸腰段脊椎骨摺患者採用椎體成形術聯閤後路經椎弓根內固定治療50例作為研究對象.觀察患者的手術情況及受損椎體高度的恢複情況、受損椎體的壓縮率,測量患者的Cobb's角、椎管狹窄情況,記錄患者術前術後的AMS評分情況及術後併髮癥的情況.結果 50例患者術後隨訪6～ 12箇月,平均(10.5±1.3)箇月.手術平均時間為(148.4 ± 75.3)min,術中平均透視時間(13.3±4.6)min,術中平均齣血量(758.7±214.5)ml.術後患者的脊髓神經壓迫情況得到明顯的緩解,併且無脊髓神經功能噁化的情況髮生,術後患者的AMS評分較術前有明顯改善,患者椎體壓縮比、椎管狹窄率及Cobb's角術後較術前有明顯恢複(P＜0.05).結論 後路經椎弓根內固定聯閤椎體成形術治療老年人胸腰段脊椎骨摺具有療效確切、椎體形態功能恢複佳、內固定穩定等特點,值得臨床推廣應用.
목적 탐토후로경추궁근내고정연합추체성형술치료노년인흉요단척추골절적림상료효방법 선취아원2011년1월지2013년1월수치입원적노년흉요단척추골절환자채용추체성형술연합후로경추궁근내고정치료50례작위연구대상.관찰환자적수술정황급수손추체고도적회복정황、수손추체적압축솔,측량환자적Cobb's각、추관협착정황,기록환자술전술후적AMS평분정황급술후병발증적정황.결과 50례환자술후수방6～ 12개월,평균(10.5±1.3)개월.수술평균시간위(148.4 ± 75.3)min,술중평균투시시간(13.3±4.6)min,술중평균출혈량(758.7±214.5)ml.술후환자적척수신경압박정황득도명현적완해,병차무척수신경공능악화적정황발생,술후환자적AMS평분교술전유명현개선,환자추체압축비、추관협착솔급Cobb's각술후교술전유명현회복(P＜0.05).결론 후로경추궁근내고정연합추체성형술치료노년인흉요단척추골절구유료효학절、추체형태공능회복가、내고정은정등특점,치득림상추엄응용.
Objective To study the clinical efficacy of posterior pedicle screw fixation combined with vertebroplasty in the treatment ofthoracolumbar vertebral fractures in elderly patients.Methods 50 elderly patients with thoracolumbar vertebral fractures in our hospital from January 2011 to January 2013 underwent posterior pedicle screw fixation combined with vertebroplasty.Observed patients' operation situation and recovery condition of damaged vertebral body height,vertebral compression ratio,measured Cobb's angle,cervical stenosis,recorded AMS score before and after operation and postoperative complications.Results 50 patients received postoperative follow-up of 6-12 months,the average (10.5±1.3) months.The average operation time was (148.4±75.3) min,the average intraoperative fluoroscopy time was (13.3±4.6) min,the average intraoperative blood loss was (758.7±214.5) ml.spinal cord compression of patients obviously eased,without spinal cord neurological function deterioration.AMS score,vertebral compression ratio,stenosis rate and Cobb's angle obviously improved after operation (P＜0.05).Conclusion Posterior pedicle screw fixation combined with vertebroplasty has obvious clinical efficacy in the treatment of thoracolumbar vertebral fractures in elderly patients,with good vertebral body shape functional recovery and stable internal fixation,worthy of clinical application.
