多节段间隔性脊柱骨折21例临床分析  

Clinical Analysis of 21 Cases of Multiple Segmental Spinal Fractures

作　　者：胡家美[1] 

机构地区：[1]湖北民族学院附属民大医院脊柱外科,恩施445000

出　　处：《中国继续医学教育》2015年第26期82-83,共2页China Continuing Medical Education

摘　　要：目的分析21例多节段间隔性脊柱骨折的手术机制及其临床疗效。方法选取2014年6月-2015年1月于我院就诊的多节段间隔性脊柱骨折患者共21例,采用回顾性分析法分析其临床资料、漏诊原因以及疗效情况。结果经研究可知漏诊与延迟诊断为11例（52.4%）,其中术中发现为4例（19.04%）,治疗中停留后经检查发现合并伤与漏诊均为3例（14.3%）,后期复诊发现1例（4.8%）;经随访1年,可知恢复正常11例（52.4%）,改善9例（42.9%）,无变化1例（4.8%）。结论针对患者的各种情况,应该灵活选用合适的治疗方法结合辅助检查,保证全过程的严格、科学性,减少误诊率,提升痊愈率。Objective Analysis the operation mechanism and clinical effect of 21 cases of multiple segmental fractures of the spine. Methods Selected 21 patients with multiple segmental fractures of the spine from June 2014 to January 2015 in our hospital from, were analyzed retrospectively the clinical data, the reason of non-diagnosis and curative effect. Results The research shows that misdiagnosis and delayed diagnosis in 11 cases （52.4%）. The intraoperative found in 4 cases （19.04%）, in the treatment of stay after the inspection discovery and associated injury and missed diagnosis were 3 cases （14.3%）, late referral was found in 1 cases （4.8%）. After 1 year of follow-up, it can be seen that the restoration of normal in 11 cases （52.4%）, improved in 9 patients （42.9%）, no change in 1 cases （4.8%）. Conclusion For all kinds of patients, it should be flexible to choose appropriate treatment method combine with auxiliary examination, ensure the whole process of strict, scientific, reduce the misdiagnosis rate, improve the recovery rate.

关 键 词：骨折 多节段 间隔性脊柱 

分 类 号：R274.1[医药卫生—中医骨伤科学]