自制充气复位器加牵引下复位与单纯牵引复位治疗单纯性胸腰椎骨折的比较  

Comparison of Single Traction Reduction and Inflatable Repositor plus Traction Reduction Treating Single Thoracolumbar Fracture

作　　者：周成洪[1] 黄伟[1] 龙亨国[1] 

机构地区：[1]舟山市中医骨伤联合医院,浙江舟山316000

出　　处：《中华中医药学刊》2012年第4期815-817,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：浙江省中医药科技计划基金资助项目(2009CB081)

摘　　要：目的:通过应用两种方法:牵引辅助下充气复位、牵引复位,治疗新鲜胸腰椎骨折,观察其复位效果并进行比较。方法:所有研究病例120例,均为新鲜的胸腰椎骨折,均为胸腰椎楔型骨折,将120例病例分为A、B组,每组60例,A组病例应用牵引复位,B组病例应用牵引下充气复位。于复位前、复位后拍片,行椎体前缘高度、Cobb角的影像学测量和计算。结果:A组病例复位后骨折椎体前缘的压缩率、Cobb角改善率较复位前改善不明显,B组病例复位后骨折椎体前缘的压缩率、Cobb角改善率较复位前改善显著。结论:单独应用牵引复位复位新鲜胸腰椎骨折复位效果不好,应用牵引辅助下自制充气复位器复位新鲜胸腰椎骨折复位效果显著:牵引辅助下充气复位器复位是治疗新鲜胸腰椎楔型骨折的有效方法。Objective： Through the application of the two methods：inflatable repositor plus traction reduction and single traction reduction treating fresh thoracolumbar fractures,to observe and compare the repositioning effect.Methods：120 cases of fresh thoracolumbar fractures were all the wedge fractures of thoracic and lumbar vertebrae and they were divided into A and B groups,and 60 cases in each group.Cases in A group applied single traction reduction,group B applied inflatable repositor plus traction reduction.Screening was needed before and after reduction,height of anterior border of the vertebrae as well as the Angle of the margin Cobb imaging measurement and calculation were made.Results：The compression ratio and Cobb edge horn in group A were not obvious,but in group B improved significantly.Conclusion：The effect of single traction reduction treating fresh thoracolumbar fractures is not very satisfied,the application of inflatable repositor plus traction reduction has significant effect and it is an effective treatment for fresh thoracolumbar fracture.

关 键 词：牵引 胸腰椎骨折 治疗 充气复位 

分 类 号：R274.1[医药卫生—中医骨伤科学]