摘要
目的探讨分析胸腰段脊柱骨折合并脊髓损伤前后路减压治疗的应用效果。方法选取2019年7月—2021年3月在漯河市中心医院行胸腰段脊柱骨折合并脊髓损伤减压治疗的110例患者作为本研究的样本对象。依据治疗过程中不同入路情况,分为前路组(前路减压治疗)与后路组(后路减压治疗),每组55例。分析比对两组治疗后各项相关临床指标、治疗有效率和术后恢复情况。结果前路组住院时间(17.63±2.71)d、手术时间(248.31±15.45)min,明显长于后路组(15.43±2.45)d,(200.37±19.21)min;出血量(601.46±42.23)mL,显著高于后路组(364.38±28.25)mL,植骨融合时间(2.30±0.72)个月,则显著短于后路组(4.28±1.41)个月,4项对比结果差异均有统计学意义(t/P值:-4.466/<0.001;-14.422/<0.001;-34.606/<0.001;9.275/<0.001);前路组治疗有效率(98.18%)显著高于后路组(87.27%),比对结果差异有统计学意义(χ^(2)/P值:4.853/0.028);且该组触觉评分(54.43±9.42)、运动评分(48.45±18.62)和伤锥评分(3.86±0.47)均显著高于后路组(45.27±9.71,35.36±12.28,2.75±0.33),3项对比结果均差异有统计学意义(t/P值:-5.021/<0.001,-4.352/<0.001,-14.334/<0.001)。结论在胸腰段脊柱骨折合并脊髓损伤治疗中,应用前路减压治疗的术中时间较长,但治疗后患者的术后恢复状况更好,手术效果更佳,值得进一步应用和推广。
Objective To investigate and analyze the application effect of anterior and posterior approach decompression for thoracolumbar spinal fracture combined with spinal cord injury.Methods From July 2019 to March 2021,totally 110 patients with thoracolumbar spinal fracture combined with spinal cord injury in our hospital during this period were selected as the sample subjects of this study.According to different approaches in the course of treatment,the subjects were divided into anterior approach group(anterior decompression therapy)and posterior approach group(posterior decompression therapy),with 55 cases in each group.After treatment,relevant clinical indicators,treatment effective rate and postoperative recovery were analyzed and compared between the two groups.Results The hospital stay and operation time of the anterior approach group(17.63±2.71)d and(248.31±15.45)min were significantly longer than those of the posterior approach group.(15.43±2.45)d and(200.37±19.21)min,the amount of blood loss(601.46±42.23)mL was significantly higher than that of the posterior approach group(364.38±28.25)mL,and the time of bone graft fusion(2.30±0.72)months was significantly shorter than that of the posterior approach group(4.28±1.41)months.There were significant differences in the 4 comparison results(t/p value:4.466/<0.001;14.422/<0.001;34.606/<0.001;9.275/<0.001);The effective rate of the anterior approach group(98.18%)was significantly higher than that of the posterior approach group(87.27%),and the comparison results were significantly different(χ^(2)/P value:4.853/0.028).The tactile score(54.43±9.42),motor score(48.45±18.62)and wound cone score(3.86±0.47)in this group were significantly higher than those in the posterior approach group(45.27±9.71);35.36±12.28;2.75±0.33),and there were significant differences in the results of the three comparisons(t/P:-5.021/<0.001;4.352/<0.001;14.334/<0.001).Conclusion In the treatment of thoracolumbar spinal fracture combined with spinal cord injury,the application of ant
作者
李程
李玉伟
王海蛟
LI Cheng;LI Yu-wei;WANG Hai-jiao(Department of Spinal Surgery,Luohe Central Hospital,Luohe,Henan 462000,China)
出处
《医药论坛杂志》
2021年第17期52-55,共4页
Journal of Medical Forum
关键词
胸腰段脊柱骨折
脊髓损伤
前后路减压治疗
临床指标
治疗有效率
术后恢复
Thoracolumbar spinal fracture
Spinal cord injury
Anterior and posterior decompression therapy
Clinical indicators
Treatment efficiency
Postoperative recovery
