62例脊柱创伤病的临床治疗分析  

Analysis of clinical treatment of 62 patients with spinal trauma disease

作　　者：罗育[1] 

机构地区：[1]广东省新丰县人民医院,广东新丰511100

出　　处：《中国医药科学》2014年第7期192-194,共3页China Medicine And Pharmacy

摘　　要：目的：探讨与分析62例脊柱创伤病的临床治疗效果。方法选择2009年3月～2012年10月来我院治疗的62例脊柱创伤患者，对其进行影像学检查，并选择短节段椎弓根钉进行固定的方法治疗，观察患者在术后的伤椎椎体前与后缘的压缩高度、Cobb’s角以及患者脊髓神经功能的状态。结果62例患者在术后伤椎具有良好的恢复效果，此外，伤椎椎体前与后缘压缩高度以及Cobb’s角等相关指标和术前相比均有显著改善，且差异具有统计学意义（P＜0.05）；另外，患者的脊髓神经功能具有明显恢复。结论短节段椎弓根钉进行固定的治疗方法，对急性脊柱创伤具有显著疗效，然而应将CT、X线平片等影像学资料与患者伤势等具体情况相结合，依照此结果选择理想的手术方式。Objective To investigate and analyze the clinical treatment effects for 62 patients with spinal trauma disease. Methods Sixty-two patients with spinal trauma disease treated in our hospital from March 2009 to October 2012 were selected and received imaging examination. The short segment pedicle screw fixation method was used for treatment and the postoperative compression height of front and back edges of the injured vertebral bodies, Cobb＇s angles and spinal nerve function were observed. Results The injured vertebrae of the 62 patients recovered well. In addition,the postoperative compression height of front and back edges of the injured vertebral bodies and Cobb＇s angles improved significantly compared to the preoperative indicators, with statistically significant differences（P〈 0.05）.The patients＇ spinal nerve function recovered obviously. Conclusion The short segment pedicle screw fixation method shows significant efficacy in the treatment of acute spinal trauma,however,the ideal surgical method should be chosen based on both imaging data such as CT and X-ray plain films and patients＇ specific conditions.

关 键 词：脊柱创伤 临床治疗 分析 

分 类 号：R681.5[医药卫生—骨科学]