| 黄顺勇 郭安明 李炳想 韦祖龙 覃盛明 陈前芬.经伤椎单节段固定与跨伤椎短节段固定治疗胸腰椎骨折的临床疗效比较研究[J].,2015,15(17):3297-3300 |
| 经伤椎单节段固定与跨伤椎短节段固定治疗胸腰椎骨折的临床疗效比较研究 |
| Comparison of Injured Vertebra Single Segmental Fixation and AcrossInjured Vertebra Short Segmental Fixation for Thoracic and LumbarFractures |
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| DOI： |
| 中文关键词: 经伤椎单节段固定 跨伤椎短节段固定 胸腰椎骨折 临床疗效 |
| 英文关键词: Injured vertebra single segmental fixation Across injured vertebra short segment fixation Thoracic and lumbar fractures Clinical effect |
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| 中文摘要: |
| 目的：研究经伤椎单节段固定和跨伤椎短节段固定对于胸腰椎骨折进行治疗的临床疗效。方法：从2011 年6 月至2014 年6
月，选择我院100 例胸腰椎骨折患者作为研究对象。以数字法随机分为观察组50 例以及对照组50 例。观察组患者行经伤椎单节
段固定，对照组患者行跨伤椎短节段固定，对比观察两组的临床效果。结果：观察组患者术中出血量及手术时间均明显低于对照
组,差异均具有统计学意义（P＜0.05）。对两组患者手术前后的影像学检测结果进行比较，手术前后两组的压缩率以及Cobb 角比
较均无显著差异（P＞0.05），对所有患者进行末次随访时发现，观察组的压缩率明显高于对照组，Cobb 角明显低于对照组，差异均
具有统计学意义（P＜0.05）。治疗前两组在社会功能，情感职能以及躯体疼痛评分比较上均无统计学差异（P>0.05），治疗后两组以
上评分较治疗前均明显升高，并且观察组显著高于对照组，差异均具有统计学意义（P＜0.05）。结论：使用经伤椎单节段固定较跨
伤椎短节段固定方式能更好地恢复患者Cobb 角度，对于预防手术之后矫正度的丢失性具有明显优势，且其有利于术后患者生活
质量的提高，值得临床推荐使用。 |
| 英文摘要: |
| Objective:To study the clinical effect of injured vertebra single segmental fixation and across injured vertebra short
segmental fixation in the treatment of thoracic and lumbar fractures.Methods:A total of 100 patients with thoracic and lumbar fractures,
who were treated in People’s Hospital of Qintang District of Guigang from June 2011 to June 2014, were randomly divided into observation
group(n=50) and control group (n=50). The observation group was treated with injured vertebra single segmental fixation, while the
control group, with across injured vertebra short segmental fixation. Then the clinical effects of two groups were compared.Results:The
intraoperative bleeding amount and operation time of observation group were significantly less than those of control group, the differences
were statistically significant(all P<0.05). There was no significant difference in the compression ratio and Cobb angle of two groups
before and after operation(P>0.05), but all the patients were followed up for the last time;the results showed that the compression ratio of
the observation group was significantly higher than that of the control group,while the Cobb angle of the observation group, lower than
that of the control group, the difference was statistically significant (P<0.05). There was no significant difference in the social function,
emotional function and body pain score of the two groups before treatment (P>0.05), but after treatment, the above indexes score of the
two groups significantly increased, and the above indexes score of the observation group was significantly higher than those of the control
group, the difference was statistically significant (P<0.05).Conclusion:Using injured vertebra single segmental fixation can restore
the Cobb angle of patients, better than using across injured vertebra short segmental fixation in the patients with thoracic and lumbar fractures,
with the advantages of preventing the loss of postoperative correction and improving the life quality of patients, which is worthy of
clinical application. |
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