TSRH与AF联合内固定治疗胸腰段脊柱创伤性骨折的临床效果探讨

Investigation of clinical effect by TSRH combined with AF for internal fixation in the treatment of traumatic thoracolumbar fracture

目的探讨TSRH与AF联合内固定治疗胸腰段脊柱创伤性骨折的临床效果。方法 116例胸腰段脊柱创伤性骨折患者,以随机数字表法分为对照组与研究组,每组58例。对照组单纯应用AF内固定治疗,研究组应用TSRH与AF联合内固定治疗。观察两组临床疗效。结果术前两组患者的Cobb角、椎体后缘高度、椎体前缘高度对比差异无统计学意义(P>0.05);治疗后研究组的椎体后缘高度为(96.5±1.5)%、椎体前缘高度为(92.5±2.5)%,均明显高于对照组的(86.5±1.8)%、(84.2±2.3)%,差异均具有统计学意义(P<0.05);且研究组患者的Cobb角(3.5±1.5)°,低于对照组的(5.3±1.3)°,差异具有统计学意义(P<0.05)。两组术后并发症发生率对比差异无统计学意义(P>0.05)。结论 TSRH与AF联合内固定治疗胸腰段脊柱创伤性骨折效果满意,适于临床应用。

Objective To investigate clinical effect by TSRH combined with AF for internal fixation in the treatment of traumatic thoracolumbar fracture. Methods A total of 116 patients with traumatic thoracolumbar fracture were divided by random number table into control group and research group, with 58 cases in each group. The control group received AF for internal fixation alone in treatment, and the research group received TSRH combined with AF for internal fixation in treatment. Clinical effects were observed in both groups. Results There was no statistically significant difference of Cobb angle, vertebra posterior border height and vertebra anterior border height between the two groups before operation（P〈0.05）. The research group had vertebra posterior border height as（96.5±1.5）% and vertebra anterior border height as（92.5±2.5）% after treatment, which were obviously higher than（86.5±1.8）% and（84.2±2.3）% in the control group, and their difference had statistical significance（P〉0.05）. The research group had lower Cobb angle as（3.5±1.5）° than（5.3±1.3）° in the control group, and the difference had statistical significance（P〈0.05）. There was no statistically significant difference of incidence of postoperative complications between the two groups（P〉0.05）. Conclusion Combination of TSRH and AF for internal fixation provides satisfactory effect in the treatment of traumatic thoracolumbar fracture, and this method is suitable for clinical application.