摘要
目的 :对比分析经伤椎与跨伤椎固定术对胸腰椎骨折患者的远期疗效,为胸腰椎骨折患者的临床治疗提供参考。方法:将64例胸腰椎单一体爆裂性骨折患者分为跨伤椎固定(对照组)和经伤椎固定(观察组)2组,比较2组术前及术后后凸Cobb's角、椎体矢状面指数、椎体前缘高度等指标的变化及随访1 a丢失情况,统计Denis疼痛评分和Frankel神经功能分级评定。结果 :2组治疗后后凸Cobb's角、椎体矢状面指数、椎体前缘高度均有改善,与治疗前比较,差异有统计学意义(P<0.05);观察组随访1 a丢失量少于对照组,且与对照组比较,差异有统计学意义(P<0.05);观察组Denis疼痛评分优于对照组,2组比较差异有统计学意义(P<0.05);2组随访1 a Frankel神经功能分级评定比较,差异无统计学意义(P>0.05)。结论:经伤椎固定术可有效改善患者骨折远期固定和复位状况,明显减少远期随访丢失量,改善患者的疼痛状况,值得临床推广应用。
Objective To compare the long-term efficacies of via-vertebral fixation and cross-vertebral fixation for the patients with thoracolumbar fracture. Methods Totally 64 patients with single thoracolumbar fracture were divided into a control group with via-vertebral fixation and an experimental group with cross-vertebral fixation. Some indexes were monitored before and after operation including kyphosis Cobb＇s angle, sagittal index（SI）, height of anterior vertebral body,one-year follow-up loss rate, Denis pain scores and Frankel neural function grades. Results The two groups had the kyphosis Cobb＇s angle, sagittal index（SI）, height of anterior vertebral body improved obviously after operation, with P〈0.05. The experimental group had the one-year follow-up loss rate significantly less than that of the control group and Denis pain scores better than those of the control group, with P〈0.05. There was no significant difference between Frankel neural function grades of the two groups, with P〉0.05. Conclusion Via-vertebral fixation could improve long-term fixation and reset conditions for the patients with thoracolumbar fracture, and could significantly reduce far-term follow-up loss obviously, and thus is worth popularizing clinically.
出处
《医疗卫生装备》
CAS
2015年第3期84-85,88,共3页
Chinese Medical Equipment Journal
关键词
胸腰椎骨折
经伤椎固定
复位
疗效
thoracolumbar fracture
via-vertebral fixation
reset
efficacy
