成人胸腰段脊柱骨折应用前路与后路内固定治疗的疗效分析  

Efficacy analysis of anterior and posterior internal fixation in the treatment of thoracolumbar spine fractures in adults

作　　者：闫东阳 阿里木江.阿布都热合曼 

机构地区：[1]新疆维吾尔自治区阿克苏地区第一人民医院,843000

出　　处：《中国实用医药》2017年第21期27-29,共3页China Practical Medicine

摘　　要：目的研究成人胸腰段脊柱骨折应用前路与后路内固定治疗的效果。方法 100例成人胸腰段脊柱骨折患者,随机分为对照组和试验组,各50例。对照组患者给予后路内固定方式治疗,试验组患者给予前路内固定方式治疗。比较两组患者的临床疗效,对两组患者治疗前后Cobb角与伤椎高度进行比较,并对两组患者的并发症发生情况进行比较。结果试验组患者总有效率为94.00%,显著高于对照组的68.00%,差异具有统计学意义(P<0.05)。试验组治疗后Cobb角与伤椎高度优于对照组,差异具有统计学意义(P<0.05)。试验组患者的并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论成人胸腰段脊柱骨折应用前路内固定方式治疗的效果显著,具有较高临床推广价值。Objective To study the effect of anterior and posterior internal fixation in the treatment of thoracolumbar spine fractures in adults. Methods A total of 100 adults with thoracolumbar spine fractures were randomly divided into control group and experimental group, with 50 cases in each group. The control group received posterior internal fixation for treatment, and the experimental group received anterior internal fixation for treatment. Comparison were made on clinical efficacy, Cobb angle and height of vertebral injury before and after treatment, and occurrence of complications in two groups. Results The experimental group had significantly higher total effective rate as 94.00% than 68.00% in the control group, and the difference had statistical significance （P〈O.05）. The experimental group had better Cobb angle and height of vertebral injury after treatment than the control group, and their difference had statistical significance （P〈0.05）. The experimental group had obviously lower incidence of complications than the control group, and the difference had statistical significance （P〈0.05）. Conclusion Anterior internal fixation shows significant effect in the treatment of thoracolumbar spine fractures in adults, and it has high clinical promotion value.

关 键 词：胸腰段脊柱骨折 前路内固定 后路内固定 治疗效果 

分 类 号：R687.3[医药卫生—骨科学]