胸腰段脊柱骨折治疗中跨伤椎固定和经伤椎固定的临床研究  

Clinical Study of Thoracolumbar Spine Fractures in the Treatment of Mid-span Injured Vertebral Fixation and Trans-injured Vertebral Fixation

作　　者：蒋海平[1] JIANG Haiping(Department of Orthopedics,Yixing People's Hospital,Yixing,Jiangsu Province,214200 China)

机构地区：[1]宜兴市人民医院骨科,江苏宜兴214200

出　　处：《中外医疗》2021年第26期53-56,共4页China & Foreign Medical Treatment

摘　　要：目的探究分析在胸腰段脊柱骨折治疗中,应用跨伤椎固定和经伤椎固定的临床效果。方法随机选取该院在2019年1月—2020年12月间收治的50例胸腰段脊柱骨折患者为研究对象,纳入患者入院后采取随机数字表法将其划分至对照组、观察组,各25例。对照组患者实施跨伤椎固定术治疗,观察组实施经伤椎固定术治疗,对比观察两组患者在不同治疗措施下的各项临床指标、脊柱功能恢复情况以及脊柱矫正效果。结果观察组患者术中出血量、内固定引流量分别为(110.79±16.54)、(46.45±10.32)mL,明显少于对照组的(180.56±25.46)、(87.25±17.11)mL,且其手术用时、住院时间分别为(112.88±13.65)min、(9.80±1.37)d,也明显短于对照组的(150.97±19.54)min、(16.54±2.16)d,差异有统计学意义(t=11.490、10.210、7.990、13.175,P<0.001)。术后1、6个月观察组患者的脊柱功能JOA评分分别为(9.38±1.12)分、(13.45±2.18)分,明显高于对照组的(7.32±1.14)分、(9.33±2.03)分,差异有统计学意义(t=6.445、6.916,P<0.001)。观察组患者术后的Cobb角、术后即刻矫正度以及术后6个月矫正丢失度分别为(2.03±1.41)、(13.12±8.66)、(1.22±0.42)°,优于对照组的(4.45±1.42)、(8.44±4.12)、(1.90±0.45)°,差异有统计学意义(t=6.047、2.440、5.524,P<0.05)。结论在胸腰段脊柱骨折治疗中,应用经伤椎固定治疗的效果明显好于跨伤椎固定术,能够有效促进患者脊柱功能的恢复,并提升其脊柱矫正效果。Objective To explore and analyze the clinical effects of trans-injured vertebral fixation and trans-injured vertebral fixation in the treatment of thoracolumbar spine fractures.Methods 50 patients with thoracolumbar spine fracture in the hospital from January 2019 to December 2020 were conveniently selected as the research objects;after admission,the patients were randomLy divided into the control group and the observation group,25 cases in each group;the control group was treated with trans injured vertebra fixation,and the observation group was treated with trans injured vertebra fixation,and the efficacy of the two groups under different treatment measures was compared the clinical indexes,the recovery of spinal function and the effect of spinal correction were analyzed.Results The intraoperative blood loss and internal fixation drainage volume of the observation group were(110.79±16.54)mL and(46.45±10.32)mL respectively,which were significantly less than(180.56±25.46)mL and(87.25±17.11)mL of the control group,and the operation time and hospital stay were(112.88±13.65)min and(9.80±1.37)d respectively,which were also significantly shorter than(150.97±19.54)min and(16.54±2.16)d of the control group,the difference was statistically significant(t=11.490,10.210,7.990,13.175,P<0.001).The JOA scores of spinal function in the observation group were(9.38±1.12)points and(13.45±2.18)points at 1 and 6 months after operation,which were significantly higher than(7.32±1.14)points and(9.33±2.03)points in the control group,the difference was statistically significant(t=6.445,6.916,P<0.001).The postoperative Cobb angle,immediate correction degree and 6-month correction loss degree of the observation group were(2.03±1.41)°,(13.12±8.66)°,(1.22±0.42)°,which were better than those of the control group(4.45±1.42)°,(8.44±4.12)°,(1.90±0.45)°,the difference was statistically significant(t=6.047,2.440,5.524,P<0.05).Conclusion In the treatment of thoracolumbar spine fracture,the effect of the application of the in

关 键 词：胸腰段脊柱骨折 跨伤椎固定 经伤椎固定 临床效果 

分 类 号：R683[医药卫生—骨科学]