胸腰椎多节段脊柱骨折手术治疗的效果观察及研究

Observation and Study on the Surgical Treatment of Thoracolumbar Spine with Multi-Segment Spinal Fracture

目的探讨胸腰椎多节段脊柱骨折手术治疗的效果并进行观察及研究。方法对以往接收过胸腰椎多节段脊柱骨折患者作为研究对象,该院从2015月5月—2017年5月共入院治疗胸腰椎多节段脊柱骨折患者数量34例,这34例患者均符合胸腰椎多节段脊柱骨折相关标准, 34例胸腰椎多节段脊柱骨折患者中包含男性23例,女性11例。整体年龄小于35岁为11例,36～45岁之间为15例,大于45岁为8例患者。整体平均年龄在(29.6±5.9)岁。并随机平分分配两组,每组17例,将其定义观察组和对照组。观察组进行前路手术治疗,而对照组进行后路手术治疗,主要通过一个治疗阶段进行比较,然后进行数据分析。结果接收过34例胸腰椎多节段脊柱骨折患者进行分析后,这些患者均有好转,如以下数据,而对照组患者在治疗后,显效4例(23.5%)有效为8例(47.1%),总有效率为70.6%。而观察组患者在治疗后,显效为10例(58.8%),有效为5例(29.4%),总有效率为88.2%。通过两组比对后,均没有产生严重不良反应产生。结论通过对接收胸腰椎多节段脊柱骨折患者进行分析后得知,后路手术与前路手术可以有效治疗胸腰椎多节段脊柱骨折患者,并提高治疗效率,而不良反应几乎没有,而前路手术治疗效果好,所以后路手术需要大力进行临床发展。

Objective To investigate the effect of surgical treatment of thoracolumbar spine fractures and to observe and study. Methods A total of 34 patients with thoracolumbar spine fractures were treated in the hospital from May 2015 to May 2017. All 34 patients were eligible for thoracolumbar spine. For the classification of spinal fractures, 34 patients with thoracolumbar spine fractures included 23 males and 11 females. The overall age was less than 35 years old, 11 cases, 36N45 years old, 15 cases, more than 45 years old, 8 cases. The overall average age was （29.6 ＋ 5.9） years old. Two groups were randomly divided into two groups, each group consisting of 17 persons, and the observation group and the control group were defined. The observation group underwent anterior surgery, while the control group underwent posterior surgery, mainly through a treatment phase, and then data analysis was implemented. Results After 34 patients with thoracolumbar spine fractures were analyzed, these patients improved, as shown in the following data. In the control group, 4 patients （23.5%） were effective （87.1%） after treatment. The total effective rate was 70.6%. In the observation group, the effective rate was 10 （58.8%）, and the effective rate was 5 （29.4%）. The total effective rate was 88.2%. After the two groups were compared, no serious adverse reactions occurred. Conclusion By analyzing pa- tients with muhi-segmental spinal fractures of the thoracolumbar spine, it is found that posterior and anterior surgery can effectively treat patients with thoracolumbar spine fractures and improve treatment efficiency, while the adverse re- actions are almost no. The anterior approach surgery has a good effect, so the posterior surgery requires vigorous clini- cal development.