无脊髓神经损伤的胸腰椎骨折367例疗效观察  

Curative Effects of Thoracolumbar Fractures without Spinal Cord Injuries of 367 Cases

作　　者：薛桂彬 宋建宽 冯真国 姜磊[1] 桑飞[1] 

机构地区：[1]江苏省涟水县人民医院骨科,223400

出　　处：《医学理论与实践》2011年第24期2922-2924,共3页The Journal of Medical Theory and Practice

摘　　要：目的:比较手术与非手术治疗无脊髓神经损伤症状的胸腰椎骨折的疗效。方法:回顾性总结2002年2月-2010年6月采用手术治疗187例、非手术治疗180例无脊髓神经损伤症状的胸腰椎骨折患者,随访18个月～3年,比较两种方法对无脊髓神经损伤症状的胸腰椎骨折的治疗效果。结果:手术组:脊柱后突角经Cobb氏法测定,复位前平均为(19.1±0.6)°,复位后平均为(5.64±0.2)°;椎体前缘高度复位前平均为(48.06±10.1)%,复位后平均为(92.33±4.12)%。非手术组:脊柱后突角复位前平均为(18.9±0.8)°,复位后平均为(10.5±0.5)°;椎体前缘高度复位前平均为(52.03±11.5)%,复位后平均为(88.05±4.23)%。结论:治疗无脊髓神经损伤症状的胸腰椎骨折时,两种方法都可得到很好的效果,近期手术治疗应用较多。Objective. To compare the curative effects of surgical and nonsurgical treatments of thoracolumbar fractures without spinal cord injuries. Methods： After 18 - 36 months follow-up investigation, the treatments of thoracolumbar fractures without spinal cord injuries from February 2002 to June 2010 were analyzed retrospectively, including 187 cases applied surgical treatment while 180 cases treated nonsurgically so as to compare the curative effects of the two methods. Results：Through Cobb＇s examination , all that the average protruded backward angle of spine was（19. 1 ± 0.6）°, which recovered to（5.64±0. 2）° after surgical treatment reset. The average front height of spine recovered from （48. 06±10. 1）% to （92. 33±4. 12）%. In the non-surgical treatment group, the average protruded backward angle of spine recovered from （18. 9±0. 8）° to（10. 5± 0. 5）°, while the average front height of spine recovered from （52. 03 ± 11.5） % to （88. 05± 4. 23）%. Conclusion： The two methods, surgical and nonsurgical treatment, are both effective for treatment of thoracolumbar fractures without spinal cord injuries. Comparatively, surgery treatment is more preferable recently.

关 键 词：胸腰椎骨折 脊髓神经损伤 手术 非手术 

分 类 号：R681.54[医药卫生—骨科学]