伤椎置钉单节段固定与短节段固定治疗胸腰段脊柱骨折分析  

作　　者：魏书一[1] 

机构地区：[1]宜宾市第一人民医院,四川宜宾644000

出　　处：《湖南中医药大学学报》2018年第A01期576-577,共2页Journal of Hunan University of Chinese Medicine

摘　　要：目的:分析伤椎置钉单节段固定与短节段固定治疗胸腰段脊柱骨折的临床疗效。方法:按照入院顺序随机抽取我院自2015年1月至2017年1月收治的胸腰段脊柱骨折患者80例,分为单节组(n=40)和短节组(n=40)。结果:两组术前的VAS评分、伤椎后凸角、NDI评分与术后1周以及末次随访方面;与短节组的术中出血量以及手术时间比较,单节组的较短,差异显著(P<0.05);但术前1周与末次随访方面的VAS评分、伤椎后凸角、NDI评分比较,无显著差异(P>0.05)。结论:伤椎置钉单节段固定与短节段固定治疗胸腰段脊柱骨折,疗效相近,均提高了患者的生活能力,值得推广。objective:to analyze the clinical effect of fixed and short segment fixation on the spinal fracture of thoracic lumbar.Methods:randomly in hospital order from January 2015 to January 2017,80 cases of thoracic lumbar spine fracture patients,divided into the single section group(n=40)and sub group(n=40).Results:the VAS scores of the two groups,the posterior convex angles of the injured vertebra,the NDI score and the follow-up in the first week and the following operation;In the short term group,the comparison of blood volume and surgical time was significant(P<0.05).However,there was no significant difference(P>0.05)in the first weeks of the operation with the VAS score of the previous follow-up,the postoperative convex Angle and the NDI score.Conclusion:The single-segment fixation and the short-segment fixation of the injured vertebrae are similar to the treatment of thoracolumbar spine fractures,and both have improved efficacy and are worth promoting.

关 键 词：伤椎置钉 单节段固定 短节段固定 胸腰段脊柱骨折 

分 类 号：R683.2[医药卫生—骨科学]