后路两种术式治疗胸腰椎爆裂性骨折临床效果对比

Two Kinds of Posterior Surgical Treatment of Thoracolumbar Burst Fracture Treatment of Comparative Study Clinical Effect

目的:比较后路两种术式治疗胸腰椎爆裂性骨折患者的临床疗效。方法:对54例胸腰椎爆裂性骨折患者的病例资料进行回顾性分析,按照治疗手段的不同分为两组:直接减压组24例,间接减压组30例,治疗后根据文中的指标进行评分,统计术后并发症,最后统计学方法检验两组患者治疗结果的差异性。结果:直接减压组生活能力评分(20.22±4.87)分,疼痛评分(34.43±7.22)分,3例出现术后并发症,间接减压组生活能力评分(31.25±5.02)分,疼痛评分(17.98±4.33)分,无术后并发症现象,与间接减压组有明显差异(P<0.05)。结论:间接减压法治疗胸腰椎爆裂性骨折具有显著的临床疗效。

Objective:To use two kinds of posterior surgical treatment of thoracolumbar burst fracture patients,compares two kinds of treatment of clinical curative effect.Methods:To enter our treatment of 54 cases of the patients with thoracolumbar burst fracture cases and the data were retrospectively analyzed,according to the different treatment methods are divided into two groups: direct decompression group of 24 cases,indirect decompression group 30 cases,after treatment according to the index score,statistics the postoperative complications,and finally statistical methods to test two groups of patients the differences of the results.Results:Direct decompression group life ability score(20.22 ±4.87) points,pain score(34.43 ±7.22) points,3 cases with the postoperative complications,indirect decompression group life ability score(31.25±5.02) points,pain score(17.98±4.33)points,no postoperative complications phenomenon.Statistics show that t test and indirect decompression group have obvious difference(P<0.05).Conclusion:Indirect decompression method treatment of thoracolumbar burst fracture has significant clinical curative effect.