运动与骨盆牵引治疗胸腰椎压缩性骨折的疗效比较

Comparison of locomotion therapy between pelvis traction therapy to treat fracture of thoracolumber

目的:对比运动疗法与传统骨盆牵引疗法治疗Ⅰ～Ⅱ度胸腰椎压缩骨折效果,为运动疗法推广应用治疗胸腰椎压缩骨折,提供合理的临床治疗依据.方法:选择Ⅰ～Ⅱ度胸腰椎压缩的患者,共计92例进入统计组.根据X线测量胸腰椎压缩骨折治疗前的椎体高度,按照个人意愿分别采取运动疗法与骨盆牵引疗法,根据治疗方法分组.1年后复查,测量腰椎高度,进行数据处理,分析疗效差异.结果:1年后随访,压缩椎体高度变化,1组:治疗前为(17.2±2.3)mm;治疗后为(24.4±3.1)mm;2组:治疗前为(16.8±2.6)mm;治疗后为(23.9±2.7)mm.结论:根据数据统计分析,运动疗法与骨盆牵引疗法对Ⅰ～Ⅱ度胸腰椎压缩的患者治疗效果基本相近,对于大多数Ⅰ～Ⅱ度胸腰椎压缩的患者,如果他们能够积极配合,可积极选用运动疗法.

Objective: Compare the effects of locomotion therapy and pelvis traction therapy to treat Ⅰ~Ⅱ° thoracolumbar compress fracture.Method:Ninety-two cases with Ⅰ~Ⅱ° thoracolumbar compress fracture were selected and divided into 2 groups with locomotion therapy and pelvis traction thepapy respectively. Result:Thoracolumbar height was measured according to X-ray results after 1 year follow-up. The height was 17.2±2.3mm preoperatively and 24.4±3.1 mm postoperatively in locomotion therapy group while 16.8mm±2.6mm preoperatively and 23.9mm±2.7mm postoperatively in the pelvis traction therapy group.Conclusion:There is no significant difference between effects of two groups.