前路减压融合固定治疗胸腰段爆裂骨折疗效观察

目的：探讨前路减压融合固定治疗胸腰段爆裂骨折的临床疗效。方法：选取我院2013年8月-2014年8月收治的56例胸腰段爆裂骨折患者，将其随机分为观察组和对照组，每组28例，对照组患者采用后路手术治疗。观察组患者采用前路减压融合固定治疗，观察两组患者临床指标和手术后恢复情况。结果：观察组患者在手术中出血量和术后引流量明显少于对照组，数据对比差异具有统计学意义，P〉0．05，同时，观察组患者在术后脊柱融合率达到100％，明显高于对照组患者的76.4％，数据对比差异具有统计学意义．P〉0．05。结论：采用前路减压融合固定治疗胸腰段爆裂骨折，临床疗效显著，减少了患者术后疼痛，使患者更快的康复，值得在临床中应用和推广。

Objective： to study the anterior decompression fusion fixed clinical curative effect for the treatment of thoracic lumbar burst fracture. Selection Methods ： from Au- gust 2013 to August 2013 were 56 cases of thoracic lumbar burst fracture patients, randomly divided into observation group and control group, each group of 28 cases, control group were heated by posterior surgery. Observation group were treated by anterior decompression fusion fixation treatment, observe two groups of patients with clinical indexes and recovery after surgery. Results ： the observation group of patients in the intraoperative blood loss and postoperative flow significantly less than the control group, the data contrast difference is statisti- cally significant, P 〉 0.05, at the same time, the observation group of patients in postoperative spinal fusion rate of 100% , 76. 4% , significantly higher than the control group patients data contrast difference is statistically significant, P 〉 0. 05 ）. Conclusion ： the anterior decompression fusion fixation for thoracic lumbar burst fracture, clinical curative effect is distinct, reduced postoperative pain patients, make the patients recover faster, is worth in the clinical application and popularization.