摘要
目的:比较不同入路植入物内固定治疗腰椎爆裂性骨折的疗效。方法选择2011年4月至2013年12月97例腰椎爆裂性骨折患者为研究对象,并将其分为两组。 A组由脊柱后路入路,B组采取前后联合入路,比较两组手术时间、术中出血量、术后Cobb角丢失与疼痛情况及并发症发生率。结果 A组手术时间、术中出血量均低于B组,疼痛评分高于对照组,疼痛程度更轻,但 Cobb 角丢失值高于B 组,差异比较均有统计学意义(P<0.05)。A组并发症发生率为12.2%,高于B组,比较差异有统计学意义(P<0.05)。结论后路入路与前后路联合入路治疗腰椎爆裂性骨折各有优缺点,需结合患者实际情况确定合适入路方式。
Objective To compare the different approaches of placement of implant internal fix-ation in treatment of lumbar burst fractures .Methods Selected 97 cases of lumbar burst fractures from April 2011 to December 2013 , and divided them into two groups .Group A was in posterior spinal ap-proach, and group B adopted combined anterior and posterior approach .Compared operation time , bleeding volume , postoperative Cobb angle loss and pain and the incidence of complications of two groups .Results The operation time , intraoperative blood volume in group A were lower than those in group B , and the pain score was higher than that in group B , pain degree was lighter , but the Cobb angle loss value was higher than that of group B , all of the differences were significant (P〈0.05).The com-plication rate in group A (12.2%) was higher than that in group B , the difference was significant ( P〈0.05) .Conclusions Posterior approach and combined anterior and posterior approach in treatment of lumbar burst fractures have advantages and disadvantages , appropriate approach need to be combined with the actual situation of patients .
出处
《中国实用医刊》
2016年第1期50-51,共2页
Chinese Journal of Practical Medicine
关键词
入路
内固定
腰椎爆裂性骨折
脊柱
Approach
Internal fixation
Lumbar burst fracture
Spinal column