45例急性脊椎创伤的临床诊断与治疗

Clinical Diagnosis and Treatment of Acute Spinal Trauma: A Report of 45 Cases

目的总结急性脊椎创伤诊断和治疗的方法 ,为更好地治疗急性脊椎创伤提供科学依据。方法以2012年1月至2014年10月在我院住院治疗的45例急性脊椎创伤患者为研究对象,比较患者手术前后椎体前、后缘的压缩高度和伤椎Cobb's角的变化情况,以及有无感染等并发症。结果对患者实施手术治疗以后,Cobb's角、椎体前缘压缩高度、椎体后缘压缩高度都有了明显的下降,手术前与手术后相比较差异具有统计学意义(P<0.05)。45例患者中有2例患者出现手术后感染并发症,经过对症处理以后,恢复良好,经过随访,没有发现死亡病例。结论急性脊柱损伤在明确诊断以后,积极采用手术进行治疗,可取得不错的治疗效果,建议在临床推广使用。

Objective To summarize the diagnosis and treatment of acute spinal trauma, so as to provide reference for clinic.Methods Forty-five patients with acute spinal trauma admitted to our hospital from January 2012 to October 2014 were selected as the research objects. The compression heights of anterior and posterior vertebral body and vertebral Cobb＇s angles before and after surgery were compared, and the complications were observed. Results After surgery, the Cobb＇s angle, and compression heights of anterior and posterior vertebral body decreased significantly（P 0.05）. Two cases had infection after surgery, and had good recovery after symptomatic treatment.No death case was found. Conclusions With definitive diagnosis of acute spinal trauma, active surgery can achieved good therapeutic effect.