胸腰椎骨折的微创手术治疗  

Minimally invasive operation in treatment of thoracolumbar fractures

作　　者：张在田[1] 雷春湘 李强[1] 伍玉元[1] 施傅森 丁家魏 

机构地区：[1]湖南省怀化市中医院脊椎外科,湖南怀化418000

出　　处：《中国当代医药》2013年第1期167-168,共2页China Modern Medicine

摘　　要：目的探究胸腰椎骨折的微创手术进展。方法选取2009年6月～2012年6月于本院骨科住院的110例胸腰椎骨折患者作为研究对象进行临床资料分析。结果 110例患者均一期完成手术,且均获得随访,术后随访患者均无神经症状加重或新出现的神经症状,术前不完全性神经损伤的57例患者术后均有所恢复,术前完全性神经损伤的4例患者神经功能无显著恢复。结论虽然目前微创手术仍存在一些问题,缺乏实践的反复测试,但微创治疗胸腰椎骨折具有无可替代的优越性,前景明朗,会在不断应用中成熟和完善。Objective To explore minimally invasive surgery progress in treatment of thoracolumbar fractures. Methods One hundred and ten cases of thoracolumbar fractures patients from June 2009 to June 2012 in orthopaedic department of our hospital were selected as the research object, the clinical data was analyzed. Results The 110 cases were all given one-stage operation, and they were all given follow-up, postoperative follow-up of patients showed no nerve symptom aggravating or new nerve symptoms, 57 cases of patients with preoperative incompleteness nerve injury were resumed after operation, 4 patients with completeness nerve injury had no significant nervous function recovery. Conclusion Though minimally invasive surgery still has some problems at present, such as lack of practice of repeated testing, but there is no doubt that the minimally invasive treatment of thoracolumbar fractures have irreplaceable advantages, the prospect is very clear, minimally invasive surgery will be mature and perfect in continuous application.

关 键 词：胸腰椎骨折 微创手术 骨折 治疗 

分 类 号：R681.5[医药卫生—骨科学]