经伤椎固定与跨伤椎固定治疗胸腰段脊椎骨折的疗效比较  

Comparison of the Effect of the Treatment of Thoracolumbar Vertebral Fracture by the Fixation of the Injured Vertebra and the Fixation of the injured Vertebra

作　　者：杜晓春[1] 汤同军 丁骁鹏 王义国[1] 胡继坤[1] 

机构地区：[1]句容市人民医院骨科

出　　处：《中国继续医学教育》2017年第20期124-125,共2页China Continuing Medical Education

摘　　要：目的探析在治疗胸腰段脊椎骨折中分别应用经伤椎固定与跨伤椎固定的临床效果。方法研究对象为2012年6月—2017年2月来本院接收治疗的56例腰胸段脊椎骨折患者,按照抛硬币法将患者分为对照组与实验组。对照组26例采用跨伤椎固定术,实验组30例采用经伤椎固定术。对比与分析两组术前术后凸Cobb角、椎体压缩率、随访3个月的Cobb角丢失、椎体高度丢失情况。结果术前两组实验组的凸Cobb角、椎体压缩率对比,差异无统计学意义,P>0.05。术后实验组Cobb角丢失、椎体高度丢失、凸Cobb角、椎体压缩率均优于对照组,P<0.05。结论应用经伤椎固定术对治疗胸腰段脊椎骨折具有理想疗效,并能提高预后效果,利于畸形矫正和骨折复位,增强固定的稳定性。Objective To analyze the clinical effects of the treatment of thoracolumbar vertebral fracture by the fixation of the injured vertebra and the fixation of the injured vertebra.Methods From June 2012 to February 2017,56 cases of thoracolumbar fracture in our hospital were selected,they were divided into the control group and the experimental group according to the coin tossing method.26 cases in the control group were treated with cross injury vertebral fixation,30 cases in experimental group were received vertebral fracture fixation.Cobb angle loss and vertebral height loss of the two groups were compared and analyzed before and after operation,such as Cobb angle,vertebral compression rate,and 3 months follow-up.Results The preoperative Cobb angle and vertebral compression ratio of the two groups were not statistically significant,P〈0.05.The Cobb angle loss,vertebral height loss,convex Cobb angle and vertebral compression rate in the experimental group were better than those in the control group,P〈0.05.Conclusion The use of the injured vertebra fixation is an ideal treatment for thoracolumbar fracture,and can improve the prognosis.It is good for deformity correction and fracture reduction,and improves the stability of the fixation.

关 键 词：经伤椎固定 跨伤椎固定 胸腰段脊椎骨折 临床效果 

分 类 号：R683[医药卫生—骨科学]