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| 不同手术入路方式治疗胸腰椎骨折的临床效果观察 |
| Clinical efficacy of different surgical approach mode in treating thoracolumbar fracture |
| 投稿时间：2014-11-05 修订日期：2015-02-21 |
| DOI：10.3969/j.issn.1000-0399.2015.05.028 |
| 中文关键词: 胸腰椎骨折 前路 后路 固定术 |
| 英文关键词: Thoracolumbar fracture Anterior Posterior Fixation |
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| 中文摘要: |
| 目的 探讨不同手术入路方式治疗胸腰椎骨折的临床疗效。 方法 选择95例胸腰椎患者,依照不同手术入路分为两组,41例采用前路减压植骨融合固定术(前路组),54例采用后路减压短节段钉棒固定术(后路组);观察两组手术时间、术中出血量、神经功能、伤椎前缘压缩、后凸Cobb's角及椎管受堵指数。 结果 后路组的手术时间、术中出血量小于前路组,但前路组在伤椎前缘压缩方面优于后路组,差异均有统计学意义(P<0.05);其余指标在两组间的差异无统计学意义。 结论 后路减压短节段钉棒固定术治疗胸腰椎骨折,神经功能恢复良好,后凸畸形矫正满意,且手术时间短、术中出血量少,临床效果满意。 |
| 英文摘要: |
| Objective To investigate the clinical efficacy of different surgical approach mode in treating thoracolumbar fracture. Methods Ninety-five cases with thoracolumbar fracture were chosen and divided into two groups according to different operations. Forty-one cases were treated with the anterior cervical decompression and fusion fixation, and the other 54 cases with posterior decompression shot-segment nail bat fixation. The operation time, bleeding amount, neurological function, anterior vertebral compression, kyphose Cobb's angle and spinal canal blocking index of the two groups were observed. Results The operation time of the posterior group was shorter than that of the anterior group(P<0.05), and neurological function of the posterior group was evidently better than that of the anterior group(P<0.05). The anterior vertebral compression of the anterior group was better than that of the posterior group(P<0.05). There was no evident difference in other index(P>0.05). Conclusion For posterior decompression shot-segment nail bat fixation in treating thoracolumbar fracture, the recovery of neurological function is good, and the correction of kyphosis is satisfactory. Moreover, it has the advantages of short operation time, less bleeding amount and satisfying clinical effect. |
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