后路手术治疗脊柱胸腰段骨折临床疗效观察

Thoracic Lumbar Spine Fractures Treated by Posterior Surgery Clinical Effect Observation

目的分析探讨后路手术对于脊柱胸腰段骨折的临床治疗效果。方法选择我院2014年3月~2015年3月之间收治的98例脊柱胸腰段骨折患者作为观察对象,采用随机的方式将其分为观察组和对照组各49例。对照组患者使用前路手术方式进行治疗;观察组患者采用后路手术方式进行治疗。观察对比两组患者的临床治疗效果。结果观察组患者术后的伤椎前后缘高度比值优于对照组患者、Cobb角度改善情况优于对照组患者、疼痛程度要显著轻于对照组患者,组间的差异具有统计学意义（P〈0.05）。同时观察组患者对护理服务的满意度优于对照组患者,差异具有统计学意义（P〈0.05）。结论对胸腰段骨折患者应用后路手术方式进行治疗具有很好的治疗效果,相对于前路手术方式,患者的治疗总有效率更高、满意度更佳。

Objective To analyze posterior approach to the clinical treatment effect of thoracic lumbar spine fractures. Methods Our hospital between March 2014 ~ March 2015 treated 98 cases of patients with fracture of thoracic lumbar spine as research object, USES the random, it can be divided into observation group and control group（n = 49）. Control group patients with anterior surgical procedure for treatment; Observation group were treated by posterior surgical procedure for treatment. To observe the clinical therapeutic effect compared two groups of patients. Results The observation group of patients with postoperative wound edge height ratio before and after the job is better than the control group patients, Cobb Angle to improve the situation, degree of pain were significantly better than the control group patients patients with lighter than the control group, the differences between groups with statistical significance（P〈0.05）. At the same time observation group of patients to nursing service satisfaction is better than the control group patients, statistically significant difference（P〈0.05）. Conclusion The application of posterior approach in patients with thoracic lumbar fracture treatment has good therapeutic effect, relative to the anterior surgical procedure, the treatment of patients with total effective rate higher satisfaction, more beautiful.