后路内固定融合术治疗脊柱胸腰段骨折临床疗效观察  

Clinical Observation of Treatment of Posterior Fixation Fusion of Thoracolumbar Fractures

作　　者：张文化 冯佳男 孔洋 

机构地区：[1]辽宁省盘锦市第一人民医院骨外科,辽宁盘锦124010

出　　处：《中外医疗》2013年第5期68-69,共2页China & Foreign Medical Treatment

摘　　要：目的探讨后路内固定融合术对脊柱胸腰段骨折的治疗效果,为有效治疗脊柱胸腰段骨折提供参考。方法随机将该院就诊的76例脊柱胸腰段骨折患者平均分为实验组和对照组两组。实验组采取后路内固定融合术,对照组采取前路内固定术。观察两组手术时间、术中出血量、切口长度、住院时间以及术后ASIA分级情况。结果实验组的手术时间、术中出血量、切口长度及住院时间均比对照组要少,差异有统计学意义(P<0.05)。两组术后ASIA分级均较手术前有显著改善(P<0.05),且实验组显著优于对照组,两组差异有统计学意义(P<0.05)。结论采取后路内固定融合术治疗脊柱胸腰段骨折,创伤较小、恢复较快、效果显著,值得临床推广。Objective To research the therapeutic effect of posterior fixation fusion surgery on thoracolumbar fractures, and provide a reference for the effective treatment of thoracolumbar fractures. Methods 76 cases of thoracolumbar fracture patients in Our hospital were randomly divided into experimental group and control group average. The experimental group was taken posterior fixation and fusion control group to take the anterior internal fixation. Observing operative time, blood loss, incision length, length of hospital stay, and postoperative ASIA classification. Results Of the experimental group, the operative time, blood loss, incision length, and length of stay are less than the control group, the difference was statistically significant （P〈0.05）. Postoperative ASIA grade than those before surgery significantly improved（P〈0.05）, and the experimental group was significantly better than the control group （P〈0.05）. Conclusion Posterior internal fixation in the treatment of thoracolumbar fractures less trauma, faster recovery, the effect is significant, it is worth being popularizing.

关 键 词：后路内固定融合术 脊柱胸腰段 骨折 

分 类 号：R683.2[医药卫生—骨科学]