武警医学
武警醫學
무경의학
Medical Journal of the Chinese People's Armed Police Forces
2015年
11期
1141-1144
,共4页
横突上塉%椎弓根螺钉置入%胸椎骨折%传统置钉法
橫突上塉%椎弓根螺釘置入%胸椎骨摺%傳統置釘法
횡돌상척%추궁근라정치입%흉추골절%전통치정법
transverse process on crest%pedicle screw fixation%thoracic fracture%traditional planting nail method
目的：探讨采用横突上嵴椎弓根螺钉置入治疗胸椎骨折的临床效果。方法对本院骨科2012-02至2014-12收治的73例胸椎骨折患者的诊治及随访资料进行分析，根据手术方法分为研究组（39例，采用横突上塉椎弓根螺钉置入治疗）和对照组（34例，采用传统植钉法置入治疗），对两组患者的手术情况及术后12个月的随访情况进行比较分析。结果研究组的手术时间（189．5±27．9）min、术中出血量（420．4±61．5）ml均显著低于对照组（P＜0．05）。研究组在术后即刻、末次随访时的椎体前缘高度（36．1±1．5）mm、椎体后缘高度（36．2±1．5）mm均显著高于对照组（P＜0．05）。术后即刻研究组的Cobb角（4．1±0．7）°显著小于对照组的（6．2±0．8）°（P＜0．05），术后末次随访研究组的Cobb角丢失度为（2．3±0．5）°显著小于对照组的（3．9±0．8）°（P＜0．05）。研究组的术后并发症率为10．25％低于对照组的14．71％但两组差异无统计学意义。结论采用横突上塉椎弓根螺钉置入治疗胸椎骨折较传统置钉法置入术能够显著缩短手术时间、减少术中出血，有利于术后患者的恢复且疗效可靠。
目的：探討採用橫突上嵴椎弓根螺釘置入治療胸椎骨摺的臨床效果。方法對本院骨科2012-02至2014-12收治的73例胸椎骨摺患者的診治及隨訪資料進行分析，根據手術方法分為研究組（39例，採用橫突上塉椎弓根螺釘置入治療）和對照組（34例，採用傳統植釘法置入治療），對兩組患者的手術情況及術後12箇月的隨訪情況進行比較分析。結果研究組的手術時間（189．5±27．9）min、術中齣血量（420．4±61．5）ml均顯著低于對照組（P＜0．05）。研究組在術後即刻、末次隨訪時的椎體前緣高度（36．1±1．5）mm、椎體後緣高度（36．2±1．5）mm均顯著高于對照組（P＜0．05）。術後即刻研究組的Cobb角（4．1±0．7）°顯著小于對照組的（6．2±0．8）°（P＜0．05），術後末次隨訪研究組的Cobb角丟失度為（2．3±0．5）°顯著小于對照組的（3．9±0．8）°（P＜0．05）。研究組的術後併髮癥率為10．25％低于對照組的14．71％但兩組差異無統計學意義。結論採用橫突上塉椎弓根螺釘置入治療胸椎骨摺較傳統置釘法置入術能夠顯著縮短手術時間、減少術中齣血，有利于術後患者的恢複且療效可靠。
목적：탐토채용횡돌상척추궁근라정치입치료흉추골절적림상효과。방법대본원골과2012-02지2014-12수치적73례흉추골절환자적진치급수방자료진행분석，근거수술방법분위연구조（39례，채용횡돌상척추궁근라정치입치료）화대조조（34례，채용전통식정법치입치료），대량조환자적수술정황급술후12개월적수방정황진행비교분석。결과연구조적수술시간（189．5±27．9）min、술중출혈량（420．4±61．5）ml균현저저우대조조（P＜0．05）。연구조재술후즉각、말차수방시적추체전연고도（36．1±1．5）mm、추체후연고도（36．2±1．5）mm균현저고우대조조（P＜0．05）。술후즉각연구조적Cobb각（4．1±0．7）°현저소우대조조적（6．2±0．8）°（P＜0．05），술후말차수방연구조적Cobb각주실도위（2．3±0．5）°현저소우대조조적（3．9±0．8）°（P＜0．05）。연구조적술후병발증솔위10．25％저우대조조적14．71％단량조차이무통계학의의。결론채용횡돌상척추궁근라정치입치료흉추골절교전통치정법치입술능구현저축단수술시간、감소술중출혈，유리우술후환자적회복차료효가고。
Objective To study the clinical effect of transverse process on the crest of pedicle screw placement in the fracture of thoracic spine.Methods This study used the retrospective method.73 patients with thoracic spine fracture atre admitted in the De-partment of Orthopedics from 2012 February to 2014 December.Their fracture treatment and follow-up data were analyzed, and accord-ing to the operation method were divided into the study group (39 cases, using the transverse process on the crest of pedicle screw im-plantation therapy) and control group (34 cases, using the traditional planting nail implantation therapy).The results of follow-up 12 months after operation in the two groups were comparatively analyzed.Results In study group, operative time (189.5 ±27.9) min, blood loss (420.4 ±61.5) ml were significantly lower than in control group (P<0.05).In study group vertebral height immediately after surgery and last follow-up (36.1 ±1.5) mm, edge height of vertebral body (36.2 ±1.5) mm were significantly higher (P<0.05).Cobb angle immediately after surgery in the study group (4.1 ±0.7)°was significantly less than in the control group (6.2 ± 0.8)°Lost Cobb angle(P<0.05).after termination of the follow-up in study group (2.3 ±0.5)°was significantly less than in the control group (3.9 ±0.8)°(P<0.05).Postoperative complication rate in study group was 10.25%, lower than the 14.71% in the control group but the difference was not statistically significant.Conclusions Using the transverse process on the pedicle screw im-plantation in the treatment of thoracic vertebral fracture crest, compared with the traditional method of nail implantation, can signifi-cantly shorten operation time, reduce intraoperative hemorrhage, be conducive to postoperative patients recovery, and the curative effect is reliable.
