前路与后路内固定治疗成人胸腰段脊柱骨折临床分析  

Clinical analysis of anterior and posterior fixation on adult thoracolumbar spine fractures

作　　者：魏劲松[1] 

机构地区：[1]广东医学院附属医院,广东湛江524000

出　　处：《中国医药导报》2013年第22期49-51,共3页China Medical Herald

基　　金：广东省科技计划项目(编号2010B031600288)

摘　　要：目的探讨前路与后路内固定在成人胸腰段脊柱骨折的临床治疗效果。方法选择广东医学院附属医院2010年1月～2011年12月收治的胸腰段脊柱骨折患者70例,随机分为前路组和后路组,每组各35例。前路组患者给予前路固定治疗,后路组患者给予后路固定治疗;观察两组的临床治疗效果、运动与触觉评分、伤椎高度与Cobb角度及并发症情况。结果①前路组临床治疗总有效率为91.4%(32/35),后路组临床治疗总有效率为71.4%(25/35),两组比较差异有统计学意义(P<0.05)。②前路组治疗前运动、触觉评分分别为(40.6±3.2)、(70.5±4.6)分,治疗后运动、触觉评分分别为(47.0±5.3)、(70.7±6.7)分;后路组治疗前运动、触觉评分分别为(39.5±3.5)、(53.3±4.5)分;治疗后运动、触觉评分分别为(46.6±5.6)、(58.5±6.6)分;治疗后前路组运动和触觉评分高于后路组,差异有统计学意义(P<0.05)。③前路组治疗前和治疗后的伤椎高度分别为(1.3±0.6)、(3.6±1.2)cm,Cobb角分别为(22.0±2.0)°、(44.7±5.3)°;后路组治疗前和治疗后伤椎高度分别为(1.4±0.5)、(2.3±1.0)cm,Cobb角度分别为(21.6±2.2)°、(31.5±4.6)°;治疗后两组伤椎高度、Cobb角比较,差异有统计学意义(P<0.05)。④前路组术后并发症发生率为2.9%,后路组术后并发症发生率为20.0%,差异有统计学意义(P<0.05)。结论成人胸腰段脊柱骨折采取前路固定效果明显优于后路固定效果,能够更好地促进患者神经功能恢复,并发症较少,值得临床应用。Objective To investigate the clinical curative effect of anterior and posterior fixation on adult thoracolum bar spine fractures.Methods 70 patients with thoracolumbar spine fracture from January 2010 to December 2011 in Affiliated Hospital of Guangdong Medical College were included and randomly divided into anterior group and posteri or group with 35 cases in each group.Anterior group was treated with anterior fixation,then posterior group was treat ed with posterior fixation;clinical effect,movement and touch sense score,injured vertebral height and Cobb angle were observed.Results ①The clinical therapeutic effect in anterior group was 91.4%（32/35）,clinical therapeutic ef fect in posterior group was 71.4%（25/35）,the difference was statistically significant（P 0.05）.② Movement and touch sense scores in anterior group before the treatment were（40.6 ±3.2）,（70.5 ±4.6） scores,movement and touch sense score in anterior group after the treatment were（47.0 ±5.3）,（70.7±6.7） scores;movement and touch sense scores in posterior group before the treatment were（39.5 ±3.5）,（53.3±4.5） scores,movement and touch sense scores in posterior group after the treatment were（46.6±5.6）,（58.5±6.6） scores;movement and touch sense scores after the treatment in anterior group were higher than those in posterior group,the differences were statistically significant（P 0.05）.③Injured vertebral height in anterior group before and after the treatment were（1.3 ±0.6）,（3.6±1.2） cm,Cobb angle in anterior group before and after the treatment were（22.0±2.0）°,（44.7±5.3）°;injured vertebral height in posterior group before and after the treatment were（1.4±0.5）,（2.3±1.0） cm,Cobb angle in posterior group before and after the treatment were（21.6±2.2）°,（31.5±4.6）°;injured vertebral height and Cobb angle in the two groups were found had statistically significant differences（P 0.05）.④Complication occurrence rate in anterior group was 2.9%,complication

关 键 词：胸腰段脊柱骨折 前路固定 后路固定 疗效 

分 类 号：R683.42[医药卫生—骨科学]