摘要
目的观察颈前路减压植骨、钛钢板内固定治疗颈椎骨折、脱位伴脊髓损伤的疗效及并发症发生情况。方法46例颈椎骨折、脱位伴脊髓损伤患者在知情同意情况下按患者意愿和治疗方法分为A组和B组各23例，A组采用颈前路减压植骨、钛钢板内固定术治疗，B组采用颈后路手术治疗，观察两组治疗总有效率、手术时时间、并发症发生率、治疗前后的ASIA神经功能评分及sF-36评分等。结果A组治疗总有效率91．3％（21／23）高于B组的73．9％（17／23）（X^2=6．38，P〈0．05），A组手术时间（83．6±23．5）min短于B组的（106．8±25．1）min（t=5．37，P〈0．05），A组并发症发生率13．0％（3／23）低于B组的26．1％（6／23），A组治疗后ASIA神经功能评分及sF-36评分均优于B组（均P〈0．05）。结论颈前路减压植骨、钛钢板内固定治疗颈椎骨折、脱位伴脊髓损伤疗效好，并发症发生率低，值得临床推广应用。
Objective To study the the effect and rate of complications of anterior fusion with the internal fixation in treatment of fracture-dislocation complicated with spinal cord injure. Methods 46 patients with fracture-dislocation complicated with spinal cord injure were selected as group A 23 cases and group B 23 cases according to the methods of treatment, group A was treated with anterior fusion with the internal fixation,group B was treated with cervical posterior, then the total effective rate, surgical time, the rate of complications, ASIA scores and SF-36 scores before and after the treatment of the two groups were studied. Results The total effective rate of group A （91.3 % ） was higher than that （ 73.9% ） of group B （ 17/23 ） （ X^2 = 6. 38, P 〈 0.05 ）, surgical time （ 83.6±23. 5 ） min of group A was shorter than that of group B（ 106. 8±25.1 ） min（ t = 5.37, P 〈 0. 05 ）, the rate [ 13.0% （ 3/23 ） ] of complications of group A was lower than that of group B [ 26. 1% （6/23） ] , ASIA scores and SF-36 scores of group A after the treatment were better than those of group B （ P 〈 0. 05 ） , there were significant differences. Conclusion The effect of anterior fusion with the internal fixation in treatment of fracture-dislocation complicated with spinal cord injure was better, and the the rate of complications was lower, and it was worthy of exploitation and promotion.
出处
《中国基层医药》
CAS
2011年第3期317-318,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
颈椎
脱位
脊髓损伤
减压术
外科
内固定器
Cervical vertebrae
Dislocations
Spinal cord injuries
Decompression,surglcal
Internal fixators
