目的:针对外伤性胸腰段脊柱骨折患者术中短节段、长节段固定的效果进行对比,旨在探讨外伤性胸腰段脊柱骨折更加个性化的治疗方案。方法:选取2015年1月~2018年1月收治的外伤性胸腰段脊柱骨折并在本院接受接受椎体固定术患者200例。按照...目的:针对外伤性胸腰段脊柱骨折患者术中短节段、长节段固定的效果进行对比,旨在探讨外伤性胸腰段脊柱骨折更加个性化的治疗方案。方法:选取2015年1月~2018年1月收治的外伤性胸腰段脊柱骨折并在本院接受接受椎体固定术患者200例。按照接受术式的不同分为短节段固定术组和长节段固定术组2组。比较指标包括手术时间(min)、脊柱侧凸矫正率(%)、手术前后侧凸Cobb角(°)。同时,利用术中透视次数评价术中X射线暴露时间,利用脊柱侧凸矫正率(%)评价矫形效果,利用胸膜、硬膜、神经根、脊髓损伤情况评价术中并发症。出院后对患者进行3个月电话随访,记录其卧床时间,并在3个月后进行门诊复查,检测骨密度与血清1型前胶原氨基末端(Procollagen type 1 N-terminal propeptide,P1NP)和1型胶原羧基端肽交联(βcross-linked C-telopeptide of type 1 collagen,β-CTX)水平。结果:短节段固定术组手术时间较长节段固定术组缩短,短节段固定术组术中透视次数、卧床时间与血清β-CTX、P1NP水平均明显低于长节段固定术组,而椎体骨密度明显高于长节段固定术组,差异均具有统计学意义。结论:短节段固定术组的综合临床疗效优于长节段固定术组,同时也符合避免过度医疗的治疗原则,值得临床推广。展开更多
Since the late 20th century owing to the improvement of spinal surgery techniques, the diagnosis and treatment of thoracolumbar fracture have been perfected more and more. Although the advent of modern spinal surgery ...Since the late 20th century owing to the improvement of spinal surgery techniques, the diagnosis and treatment of thoracolumbar fracture have been perfected more and more. Although the advent of modern spinal surgery in China was late, we have gained some advanced achievements owing to various international communications benefited from the open policy. Therefore, it is essential to evaluate the current status and perspective of diagnosis and treatment of thoracolumbar fracture. There are several issues we would like to discuss here.展开更多
文摘目的:针对外伤性胸腰段脊柱骨折患者术中短节段、长节段固定的效果进行对比,旨在探讨外伤性胸腰段脊柱骨折更加个性化的治疗方案。方法:选取2015年1月~2018年1月收治的外伤性胸腰段脊柱骨折并在本院接受接受椎体固定术患者200例。按照接受术式的不同分为短节段固定术组和长节段固定术组2组。比较指标包括手术时间(min)、脊柱侧凸矫正率(%)、手术前后侧凸Cobb角(°)。同时,利用术中透视次数评价术中X射线暴露时间,利用脊柱侧凸矫正率(%)评价矫形效果,利用胸膜、硬膜、神经根、脊髓损伤情况评价术中并发症。出院后对患者进行3个月电话随访,记录其卧床时间,并在3个月后进行门诊复查,检测骨密度与血清1型前胶原氨基末端(Procollagen type 1 N-terminal propeptide,P1NP)和1型胶原羧基端肽交联(βcross-linked C-telopeptide of type 1 collagen,β-CTX)水平。结果:短节段固定术组手术时间较长节段固定术组缩短,短节段固定术组术中透视次数、卧床时间与血清β-CTX、P1NP水平均明显低于长节段固定术组,而椎体骨密度明显高于长节段固定术组,差异均具有统计学意义。结论:短节段固定术组的综合临床疗效优于长节段固定术组,同时也符合避免过度医疗的治疗原则,值得临床推广。
文摘Since the late 20th century owing to the improvement of spinal surgery techniques, the diagnosis and treatment of thoracolumbar fracture have been perfected more and more. Although the advent of modern spinal surgery in China was late, we have gained some advanced achievements owing to various international communications benefited from the open policy. Therefore, it is essential to evaluate the current status and perspective of diagnosis and treatment of thoracolumbar fracture. There are several issues we would like to discuss here.
