椎旁肌间隙入路伤椎固定治疗胸腰椎骨折  

Vertebral Side Clearance into the Road Fixed in the Treatment of Thoracolumbar Vertebral Fractures

作　　者：吴志安[1] 赵文杰[1] 钟俊桥[1] 曾博[1] 游婕[1] 

机构地区：[1]井冈山大学附属医院,江西吉安343000

出　　处：《中国医学创新》2014年第21期36-38,共3页Medical Innovation of China

基　　金：江西省吉安市2014年度指导性科技计划项目(吉市科计字[2014]7号)

摘　　要：目的:探讨椎旁肌间隙入路伤椎固定治疗胸腰椎骨折的临床疗效。方法:选取2008年7月-2012年3月本院胸腰椎骨折患者87例作为研究对象,按照随机数字表法分为观察组41例和对照组46例,分别采用椎旁肌间隙入路对伤椎及相邻上下椎体用椎弓根螺钉固定治疗及传统手术治疗,比较两组治疗效果。结果:两组的手术时间、出血量、术后引流量比较差异均有统计学意义(P<0.05)。观察组椎体前缘高度丢失量为(5.5±1.9)%,伤椎后凸畸形Cobb角丢失量为(3.5±1.3)°,与对照组比较差异均有统计学意义(P<0.05);两组疼痛程度评分(VAS)比较差异有统计学意义(P<0.05)。结论:椎旁肌间隙入路伤椎固定是治疗胸腰椎骨折的一种有效方法。Objective：To investigate the clinical curative effect of vertebral side road clearance into the injured vertebra fixed in the treatment of thoracolumbar fractures.Method：87 cases of thoracolumbar fractures in our hospital from July 2008 to March 2012 were selected,they were randomly into the observation group（n=41）and the control group（n=46）.They respectively used vertebral side gap into the way of injured vertebral and adjacent vertebral body up and down with pedicle screw fixation,and traditional surgery treatment,the clinical curative effect was compared between the two groups.Result：The operation time,blood loss,postoperative drainage of two groups were compared, the differences were statistically significant（P〈0.05）. In the observation group,the amount of loss of fanterior flange height was（5.5±1.9）%,amount of loss of injured vertebra protrusion deformity after Cobb angle was（3.5±1.3）°, the differences were statistically significant（P〈0.05）. The extent of pain score（VAS）of two groups were compared,the difference was statistically significant（P〈0.05）.Conclusion：Vertebral side clearance in the injured vertebral fixation is an effective method for the treatment of thoracolumbar fractures.

关 键 词：椎旁肌间隙 伤椎 固定 胸腰椎骨折 

分 类 号：R687.3[医药卫生—骨科学]