摘要
目的:探讨经后路不同减压术在胸腰椎爆裂性骨折治疗中的临床价值。方法:将2012年1月-2013年3月本院收治的胸腰椎爆裂性骨折患者84例按不同治疗方法分为试验组和对照组,每组各42例,试验组在常规治疗基础上采取后路固定间接减压术,对照组在常规治疗基础上采取后路固定直接减压术,综合比较两组治疗效果。结果:两组术后椎体高度比、椎管占位率及Cobb角均有较大改善,与术前比较差异均有统计学意义(P<0.05),但两组术后比较差异无统计学意义(P>0.05);试验组独立生活率达66.67%,ASIA评级改善率达50.00%,与对照组比较差异均有统计学意义(P<0.05)。结论:间接减压术与直接减压术疗效相当,但间接减压术并发症较少、独立生活率高及神经功能改善较好,值得作为临床首选术式。
Objective：To investigate the clinical value of different decompression by posterior in the treatment of thoracolumbar burst fractures. Method：84 patients with thoracolumbar burst fractures in our hospital from January 2012 to March 2013 were divided into control group and experimental group by different treatment.The experimental group were treated with indirect decompression on the basis of routine treatment,while the control group were treated with direct decompression on the basis of routine treatment. Result：After surgery,the vertebral height ratio,Cobb angle,canal compromise rate of two group were greatly improved,there were significant difference compared with before surgery（P〈0.05）and no significant difference between two groups（P〉0.05）. The independent living rate,the complication rate and the ASIA improvement rate of the experimental group were higher than the control group,there were significant difference between two group（P〈0.05）. Conclusion：Indirect decompression and direct decompression are equivalent on efficacy,but indirect decompression leads to a better aftermath and better neurological function,at the same time,the rate of independent living is higher than that of direct decompression,worthy to recommend its clinical use.
出处
《中国医学创新》
CAS
2013年第36期39-41,共3页
Medical Innovation of China
关键词
胸腰椎爆裂性骨折
直接减压术
间接减压术
Thoracolumbar burst fractures
Direct decompression
Indirect decompression
