多节段脊柱骨折的诊治策略分析  

Analysis of diagnosis and treatment strategies for multi-segment spinal fractures

作　　者：胡建宇[1] 黄载国[1] 刘沂[1] HU Jian-yu;HUANG Zai-guo;LIU Yi(Department of Spinal Surgery,Dalian Central Hospital,Dalian 116000,China)

机构地区：[1]大连市中心医院脊柱外科,116000

出　　处：《中国现代药物应用》2018年第6期25-27,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨根据多节段脊柱骨折(MSF)分型选择合理治疗方案的效果。方法 MSF患者60例,按照骨折分型分为不稳定型骨折组(甲组)和稳定型骨折组(乙组),每组30例。甲组患者采用短节段、长节段和(或)分段固定手术治疗,乙组患者采用卧床等保守治疗。对两组治疗效果及治疗前后椎体后凸角度、椎体前柱高度进行统计比较。结果治疗后,甲组患者的治疗总有效率为93.33%,乙组患者的治疗总有效率为90.00%,两组治疗总有效率比较差异无统计学意义(P>0.05)。治疗后,两组患者的椎体后凸角度及椎体前柱高度均优于治疗前,差异具有统计学意义(P<0.05);但治疗后两组患者的椎体后凸角度及椎体前柱高度比较差异无统计学意义(P>0.05)。结论对于多节段脊柱骨折的患者,按照不同的骨折分型,选取合理化的治疗方案,可以显著提高患者临床治疗效果。Objective To discuss the effect of selecting a reasonable treatment plan according to multisegment spine fracture(MSF)types.Methods A total of 60 MSF patients were divided by different fracture types into unstable fracture group(group A)and stable fracture group(group B),with 30 cases in each group.Group A was treated with short segment,long segment,and/or subsection fixation,and group B was treated with conservative treatment of bed rest.Comparison were made on treatment effect,and vertebral kyphosis angle,anterior vertebral column height before and after treatment between the two groups.Results After treatment,group A had total treatment effective rate as 93.33%,which was 90.00%in group B,and the difference was not statistically significant(P>0.05).After treatment,both groups had better vertebral kyphosis angle,anterior vertebral column height than before treatment,and the difference was statistically significant(P<0.05).After treatment,both groups had no statistically significant difference in vertebral kyphosis angle,anterior vertebral column height(P>0.05).Conclusion For patients with multi-segment spinal fractures,selecting a reasonable treatment plan according to different fracture types can significantly improve the clinical treatment effect of patients.

关 键 词：多节段脊柱骨折 分型 治疗 

分 类 号：R687.3[医药卫生—骨科学]