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胸腰段脊柱骨折患者跨伤椎内固定与经伤椎内固定的治疗效果对比 被引量:7

Comparison of Therapeutic Effects between Across-traumatic and Trans-traumatic vertebral Internal Fixation for Thoracolumbar Spine Fracture
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摘要 目的:探讨胸腰段脊柱骨折患者跨伤椎内固定与经伤椎内固定的治疗效果。方法:随机抽取笔者所在医院2016年1月2日-2018年1月2日收治的90例胸腰段脊柱骨折患者,以数字表法的形式将患者划为对照组和试验组,各45例。对照组患者使用跨伤椎内固定治疗,试验组患者使用经伤椎内固定治疗,比较两组患者治疗效果。结果:试验组患者手术时间、术中出血量、内固定引流量、住院时间均优于对照组,差异均有统计学意义(P<0.05)。治疗1周、1个月、2个月及6个月时,试验组患者VAS评分均优于对照组,差异均有统计学意义(P<0.05)。治疗6个月时,试验组患者前缘高度、Cobb角、椎管占位等指标显著优于对照组,差异有统计学意义(P<0.05)。结论:针对胸腰段脊柱骨折患者,跨伤椎内固定与经伤椎内固定均可起到预期治疗效果,但经伤椎内固定对椎体功能恢复相对较强,值得推广。 Objective:To investigate the therapeutic effect of across-traumatic and trans-traumatic vertebral internal fixation for thoracolumbar spine fracture.Method:A total of 90 patients with thoracolumbar spine fracture were randomly selected from our hospital from January 2nd,2016 to January 2nd,2018.The patients were divided into control group and experimental group with 45 cases in each group by the form of digital table.The patients in the control group were treated with across-traumatic vertebral internal fixation,while those in the experimental group were treated with trans-traumatic vertebral internal fixation.The therapeutic effects of the two groups were compared.Result:The operation time,intraoperative bleeding volume,internal fixation drainage and hospital stay in the experimental group were all better than those in the control group(P<0.05).At 1 week,1 month,2 months and 6 months after treatment,the VAS scores of the patients in the experimental group were better than those in the control group(P<0.05).At 6 months after treatment,the anterior height,Cobb angle and vertebral canal occupancy of the patients in the experimental group were significantly better than those in the control group(P<0.05).Conclusion:For patients with thoracolumbar spine fracture,both across-traumatic and trans-traumatic vertebral internal fixation can achieve the desired therapeutic effect,but trans-traumatic vertebral internal fixation has a relatively strong recovery of vertebral function,which is worthy of promotion.
作者 何彦国 HE Yanguo(Baoshan People’s Hospital,Baoshan 678000,China)
机构地区 保山市人民医院
出处 《中外医学研究》 2019年第13期33-35,共3页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 胸腰段脊柱骨折 跨伤椎内固定 经伤椎内固定 效果 Thoracolumbar spine fracture Across-traumatic vertebral internal fixation Trans-traumatic vertebral internal fixation Effect
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