摘要
目的分析后路内固定融合术治疗脊柱胸腰段骨折患者的临床效果,并观察对患者胸腰椎活动功能的影响。方法随机选取该院2016年1月—2017年1月收治的106例脊柱胸腰段骨折患者为该次实验参与者,按照手术临床治疗范式不同将手术治疗分为实验组与对照组,对照组46例患者给予前路内固定手术治疗,观察组60例患者给予后路内固定手术治疗,比较两组患者手术情况以及临床治疗效果。结果实验组患者手术时间、术中出血时间、术后引流量、下床运动时间均明显少于对照组,实验组治疗后IDEEA系统测量得分与治疗前相比提升幅度在(47.1±2.3),对照组治疗后IDEEA系统测量得分与治疗前相比提升幅度在(35.2±1.9),两组患者数据差异有统计学意义(P<0.05)。结论对于胸腰椎骨折患者给予后路内固定融合术能有效缩短患者手术时间,减少患者术中出血量、术后引流量,促进患者尽快下床行走,有利于患者胸腰椎活动功能的恢复。
Objective To analyze the clinical effect of posterior fixation and fusion in patients with ?fractures of thoracolumbar segment and observe the effect on the thoracic and lumbar vertebral activity function. Methods 106 cases of patients with fractures of thoracolumbar segment admitted and treated in our hospital from January 2016 to January 2017 were randomly divided into two groups and divided into two groups according to the clinical treatment methods, the control group with 46 cases were given the anterior internal fixation surgery, the observation group with 60 cases were given the posterior fixation, and the operative situation and clinical treatment effect were compared between the two groups. Results The operation time, intraoperative bleeding amount, postoperative drainage and time to get out of bed in the experimental group were obviously fewer than those in the control group, after treatment, the improvement range of IDEEA system measurement score was(47.1±2.3) compared with that before treatment in the experimental group and(35.2±1.9) in the control group, and the difference was statistically significant(P<0.05). Conclusion The posterior fixation and fusion can effectively shorten the operative time of patients, reduce the intraoperative bleeding amount and postoperative drainage and promote the patients to walk as soon as possible, which is conducive to the recovery of lumbar vertebral activity function.
出处
《中外医疗》
2017年第12期81-83,共3页
China & Foreign Medical Treatment
关键词
后路内固定融合术
脊柱胸腰段骨折
胸腰椎活动功能
Posterior fixation and fusion
Fractures of thoracolumbar segment
Thoracic and lumbar vertebral activity function
