牵引辅助下充气复位器复位药物垫枕治疗新鲜胸腰椎骨折的临床研究  

Pneumatic reductor and reset drug pillow assisted with traction in the treatment of fresh thoracolumbar fractures

作　　者：龙亨国[1] 黄伟[1] 刘玖行[1] 詹旭[1] 洪文跃[1] 虞杰[1] 李哲明[1] 周成洪[1] 肖曦[1] 

机构地区：[1]浙江省舟山市中医骨伤联合医院,浙江舟山316000

出　　处：《中医正骨》2011年第8期20-22,25,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:观察在牵引辅助下应用充气复位器复位配合药物垫枕的方法治疗新鲜胸腰椎骨折的临床疗效。方法:牵引辅助下充气复位器复位药物垫枕治疗新鲜胸腰椎骨折168例,按照胸腰椎楔型骨折的Denis分类,Ⅰ型9例,Ⅱ85例型,Ⅲ型23例,Ⅳ型16例,按照胸腰椎爆裂性骨折的Denis分类,Ⅰ型10例,Ⅱ型18例,Ⅲ型7例。于复位前、复位后、1个月、3个月、6个月、12个月时摄X线片,行椎体高度、Cobb角的影像学测量和计算,于复位前、复位后、1个月、3个月拍伤椎CT行椎管占位的测量和计算,并于伤后12个月以Beaujon-Lassale评分。结果:本组病例均获随访,随访时间12个月到24个月,复位后骨折均愈合,复位后骨折椎体前缘的压缩率、Cobb角和椎管占位较复位前明显改善,于6周、3个月、6个月、12个月时摄X线片测量示行椎体高度、Cobb角较首次复位时无明显变化,椎管占位在1个月、3个月时和首次复位时无明显变化,复位后以Beaujon-Lassale评分,20分83例,17～19分71例,15～17分11例,15分以下3例,效果良好。结论:应用牵引辅助下充气复位器复位药物垫枕治疗新鲜胸腰椎骨折的楔型骨折和部分爆裂性骨折复位效果满意,恢复良好,是有效的治疗方法。Objective：To observe the curative effect of pneumatic reductor and reset drug pillow assisted with traction in the treatment of fresh thoracolumbar fractures.Methods：One hundred and sixty-eight patients with fresh thoracolumbar fractures were treated with pneumatic reductor and reset drug pillow assisted with traction.Among of them,according to Denis classification standard of wedge fractures,the fractures were 9 in type Ⅰ,85 in type Ⅱ,23 in type Ⅲ,16 in type Ⅳ.According to Denis classification standard of burst fractures,there were 10 patients in type Ⅰ,18 in type Ⅱ,7 in type Ⅲ.X-ray was executed to measure the vertebral height and Cobb angle prereduction,postreduction and 1,3,6,12 months after reduction.The injured vertebra were examined with CT to observe the magnitude of the spinal canal encroachment prereduction,postreduction and 1,3 months after reduction.The patients were evaluated with Beaujon-Lassale score 12 months after injury.Results：All the patients were followed up for 12-24 months and got bone union.Significant improvement of post-operative vertebral height,Cobb angle and spinal canal encroachment were achieved.No differences of vertebral height and Cobb angle were observed between 6 weeks,3,6,12 months and postoperation.No differences of spinal canal encroachment were observed between 1,3 months and postoperation.According to Beaujon-Lassale score standard,83 cases scored 20 points,71 cases scored 17 to 19 points,11 cases scored 15 to 17 points,3 cases′scores were below 15 points.Conclusion：The therapy of pneumatic reductor and reset drug pillow assisted with traction is effective on fresh thoracolumbar fractures.

关 键 词：脊柱骨折 胸椎 腰椎 牵引术 充气复位 垫枕 治疗 临床研究性 

分 类 号：R683[医药卫生—骨科学]