摘要
目的评估对脊柱胸腰段骨折患者予以后路内固定融合术治疗的临床疗效。方法84例脊柱胸腰段骨折患者,随机分为试验组和对照组,每组42例。对照组进行前路内固定融合术,试验组进行后路内固定融合术。比较两组患者临床效果、手术指标(切口长度、手术时间、术中出血量、住院时间)、并发症(腰背疼痛、神经受损、脊柱不稳)发生情况、预后指标(椎管占位率、后凸Cobb角、椎体后缘高度比、椎体前缘高度比)。结果试验组临床总有效率97.62%高于对照组的80.95%(P<0.05)。试验组切口长度(118.33±14.30)mm小于对照组的(232.85±23.15)mm,手术时间(184.33±2.36)min、住院时间(9.55±1.11)d均短于对照组的(272.42±4.36)min、(18.18±2.80)d,术中出血量(534.70±2.84)ml少于对照组的(786.50±10.35)ml(P<0.05)。试验组并发症发生率2.38%低于对照组的21.43%(P<0.05)。治疗后,试验组椎管占位率(10.18±1.45)%、后凸Cobb角(6.20±1.45)°、椎体后缘高度比(90.52±5.42)%、椎体前缘高度比(85.86±13.26)%较对照组的(12.15±1.68)%、(12.15±2.45)°、(75.15±5.65)%、(72.60±16.15)%更佳(P<0.05)。结论对脊柱胸腰段骨折患者予以后路内固定融合术效果突出,可优化手术指标,减少并发症的发生,改善预后,对患者康复意义重大,建议推广。
Objective To evaluate the clinical efficacy of posterior fixation and fusion in the treatment of patients with thoracolumbar spinal fractures.Methods 84 patients with thoracolumbar spinal fractures were randomly divided into a control group and an experimental group,with 42 cases in each group.The control group was treated with anterior fixation and fusion,and the experimental group was treated with posterior fixation and fusion.Patients in both groups were compared in terms of clinical effects,surgical indicators(incision length,operation time,intraoperative blood loss,length of hospital stay),complications(low back pain,nerve damage,spinal instability),and prognostic indicators(vertebral canal occupying ratio,kyphotic Cobb angle,posterior vertebral body height ratio,anterior vertebral body height ratio).Results The total clinical effective rate of the experimental group was 97.62%,which was higher than the control group's 80.95%(P<0.05).The experimental group had smaller incision length of(118.33±14.30)mm than(232.85±23.15)mm in the control group;the experimental group had operation time of(184.33±2.36)min and length of hospital stay of(9.55±1.11)d,which were shorter than(272.42±4.36)min and(18.18±2.80)d in the control group;the experimental group had less intraoperative blood loss of(534.70±2.84)ml than(786.50±10.35)m in the control group(P<0.05).The complication rate of the experimental group was 2.38%,which was lower than the control group's 21.43%(P<0.05).After treatment,the vertebral canal occupying ratio of the experimental group was(10.18±1.45)%,the kyphotic Cobb angle was(6.20±1.45)°,the posterior vertebral body height ratio(90.52±5.42)%,and the anterior vertebral body height ratio was(85.86±13.26)%,which were better than(12.15±1.68)%,(12.15±2.45)°,(75.15±5.65)%,and(72.60±16.15)%in the control group(P<0.05).Conclusion Posterior fixation and fusion for patients with thoracolumbar spinal fractures has outstanding results,and can optimize surgical indicators,reduce complications,improve p
作者
刘明
生家耀
刘国强
LIU Ming;SHENG Jia-yao;LIU Guo-qiang(First Department of Orthopedics,Tengzhou Hospital of Traditional Chinese Medicine,Tengzhou 277599,China)
出处
《中国现代药物应用》
2024年第10期48-51,共4页
Chinese Journal of Modern Drug Application
关键词
脊柱胸腰段骨折
后路内固定融合术
预后情况
疗效
Thoracolumbar spinal fractures
Posterior fixation and fusion
Prognosis
Efficacy
