摘要
目的:探讨后路内固定融合术与前路内固定融合术治疗脊柱胸腰段骨折患者的临床疗效分析。方法:选取2016年4月-2018年6月本院治疗的脊柱胸腰段骨折患者87例为研究对象进行回顾性分析。根据手术方式的不同将其分为试验组(n=43)和对照组(n=44)。试验组采用后路内固定融合术治疗,对照组采用前路内固定融合术治疗。比较两组的临床疗效、伤椎变化情况、VAS评分与ODI评分。结果:试验组治疗有效率为95.45%,显著高于对照组的76.74%,差异有统计学意义(P<0.05)。手术1个月后,试验组伤椎前缘高度、伤椎后缘高度及后凸Cobb’s角均大于对照组,椎管占位率低于对照组,差异均有统计学意义(P<0.05)。内固定取出前、后,试验组VAS评分与ODI评分均低于对照组,差异均有统计学意义(P<0.05)。结论:采用后路内固定融合术治疗脊柱胸腰段骨折患者的效果确切,在临床疗效、伤椎变化情况、VAS评分与ODI评分等方面有明显的优势,关于治疗后的长期效果该研究未进行深入与进一步探讨,存在一些不足,在此处有待改进。
Objective:To investigate the clinical effect of posterior internal fixation and fusion and anterior internal fixation and fusion in the treatment of thoracolumbar fracture of spine.Method:A total of 87 patients with thoracolumbar fractures of the spine treated by our hospital from April 2016 to June 2018 were selected as subjects for retrospective analysis.They were divided into experimental group (n=43) and control group (n=44) according to different surgical methods.The experimental group was treated with posterior internal fixation and fusion,the control group was treated with anterior internal fixation and fusion.The two groups were compared in terms of clinical efficacy,changes in injured vertebra,VAS score and ODI score.Result:The effective rate of treatment in the experimental group was 95.45%,significantly higher than 76.74% in the control group,the difference was statistically significant (P<0.05).1 month after the operation,the height of the anterior edge of the injured vertebra,the height of the posterior edge of the injured vertebra and the Cobb’s Angle of kyphosis in the experimental group were all larger than those in the control group,spinal canal occupancy was lower than that of the control group,the differences were statistically significant (P<0.05).Before and after removal of internal fixation,VAS score and ODI score in the experimental group were lower than those in the control group,the differences were statistically significant (P<0.05).Conclusion:The effect of posterior internal fixation and fusion in the treatment of thoracolumbar fractures of the spine is definite,which has obvious advantages in clinical efficacy,changes in the injured vertebra,VAS score and ODI score,etc.The study on the long-term effect after treatment has not been in-depth and further discussed,and there are some deficiencies,which need to be improved here.
作者
张崇民
于彬
ZHANG Chongmin;YU Bin(Xiongyue Bonesetting Hospital,Yingkou Economic and Technological Development Zone,Yingkou 115009,China)
出处
《中国医学创新》
CAS
2020年第6期59-62,共4页
Medical Innovation of China
基金
辽宁省科学事业公益基金项目(2015001021)。
关键词
后路内固定融合术
前路内固定融合术
脊柱胸腰段骨折
临床疗效
伤椎变化情况
VAS评分
ODI评分
Posterior internal fixation fusion
Anterior internal fixation fusion
Thoracolumbar fracture of the spine
Clinical efficacy
Changes of injured vertebra
VAS score
ODI score
