不同椎管内骨块侵占率对单纯内固定间接减压术治疗胸腰椎爆裂骨折患者临床疗效及预后的影响研究  

Impact of Different Spinal Canal Bone Invasion Rates on Clinical Efficacy and Prognosis of Patients with Thoracolumbar Vertebral Burst Fracture Treated by Simple Internal Fixation and Indirect Decompression

作　　者：李江兴 LI Jiang-xing(Department of Orthopaedics,Qingshui County People's Hospital,Tianshui City,Qingshui,Gansu Province,741400 China)

机构地区：[1]甘肃省天水市清水县人民医院骨科,甘肃清水741400

出　　处：《中外医疗》2020年第14期68-70,共3页China & Foreign Medical Treatment

摘　　要：目的分析不同椎管内骨块侵占率对单纯内固定间接减压术治疗胸腰椎爆裂骨折患者临床疗效及预后的影响。方法方便选取该院2014年1月—2019年2月收治的胸腰椎爆裂骨折患者120例,按患者术前骨块突出椎管程度分3组,各40例,观察1组骨块突出椎管程度≤30%;30%~50%之间为观察2组,观察3组≥50%。患者均行单纯内固定间接减压术,对比疗效及预后差异。结果观察1组、2组、3组椎管内骨块侵占率(%)分别为(13.84±3.34)、(37.79±8.27)、(67.34±7.68),差异有统计学意义(t=19.092,P=0.013<0.05);观察1组、2组、3组Cobb角分别为(5.35±1.34)、(8.36±1.78)、(15.63±3.62),差异有统计学意义(t=14.734,P=0.025<0.05);观察1组、2组、3组Frankel评分分别为(3.98±1.02)、(3.13±1.04)、(2.48±1.13),差异有统计学意义(t=12.661,P=0.018<0.05);3组患者术后的治疗效果有明显差异,观察一组患者的治疗效果要明显优于观察2组和观察3组,且观察2组患者也要明显优于观察3组患者,差异有统计学意义(P<0.05)。结论对胸腰椎爆裂骨折患者采用单纯内固定间接减压术时椎管内骨块侵占率对其有重要的影响,患者椎管内骨块侵占率越高,患者的Cobb角越大,Frankel评分越低,治疗效果越差。Objective To analyze the effects of different spinal canal bone invasion rates on the clinical efficacy and prognosis of patients with thoracolumbar vertebral burst fracture treated by simple internal fixation and indirect decompression.Methods A total of 120 patients with thoracolumbar vertebral burst fractures treated in the hospital from January 2014 to February 2019 were conveniently selected.The patients were divided into three groups,and 40 cases each,according to the degree of spinal canal protrusion before operation,≤30%;between 30%and 50%,the observation group 2 and the observation group 3,≥50%.All patients underwent simple internal fixation and indirect decompression to compare the efficacy and prognosis.Results Observation of the spinal canal bone invasion rates(%)in groups 1,2,and 3 were(13.84±3.34),(37.79±8.27),(67.34±7.68),and the differences were statistically significant(t=19.092,P=0.013<0.05);observe that the Cobb angles of Group 1,Group 2,and Group 3 are(5.35±1.34),(8.36±1.78),and(15.63±3.62),and the difference is statistically significant(t=14.734,P=0.025)<0.05;The Frankel scores of observation group 1,2,and 3 were(3.98±1.02),(3.13±1.04),and(2.48±1.13),and the differences were statistically significant(t=12.661,P=0.018<0.05);There is a significant difference in the treatment effect of the three groups of patients.The treatment effect of one group of patients is significantly better than that of the two groups and three groups,and the two groups of patients are significantly better than the three groups.Statistical significance(P<0.05).Conclusion The rate of spinal canal bone mass invasion in patients with thoracolumbar burst fractures with simple internal fixation and indirect decompression has an important effect on the rate of spinal canal bone mass invasion.The lower the Cobb angles are,the worse the treatment effect is.

关 键 词：椎管内骨块侵占率 单纯内固定间接减压术 胸腰椎爆裂骨折 临床疗效 

分 类 号：R687[医药卫生—骨科学]