伤椎置钉短节段内固定治疗胸腰椎爆裂骨折的效果  

The Effect of Treatment of Thoracolumbar Spine Burst Fracture in the Short Segment of the Injury

作　　者：张明明 吕成堂[1] 施凤超[1] 陈建祥[1] 周敦[1] ZHANG Ming-ming;LV Cheng-tang;SHI Feng-chao;CHEN Jian-xiang;ZHOU Dun(Yancheng Third People's Hospital,Jiangsu Yancheng 224001)

机构地区：[1]盐城市第三人民医院,江苏盐城224001

出　　处：《深圳中西医结合杂志》2021年第22期178-180,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:比较伤椎置钉与不置钉短节段内固定对胸腰椎爆裂骨折患者的效果。方法:选取盐城市第三人民医院2018年12月至2020年10月期间收治的93例胸腰椎爆裂骨折患者,按照计算机分组法分为对照组(46例)和观察组(47例)。对照组给予不置钉短节段内固定治疗,观察组给予伤椎置钉短节段内固定治疗,观察两组患者围手术期指标、固定效果以及术后并发症发生情况。结果:两组患者手术时间、住院时间、术中出血量比较,差异均无统计学意义(P>0.05);术后6个月,观察组Cobb’s角、伤椎椎体楔形变角均小于对照组,差异具有统计学意义(P<0.05);观察组患者术后并发症发生率(2.13%)低于对照组(17.39%),差异具有统计学意义(P<0.05)。结论:伤椎置钉和不置钉短节段内固定治疗胸腰椎爆裂骨折患者在围手术期指标情况方面相当,但与不置钉短节段内固定相比,伤椎置钉可提高胸腰椎爆裂骨折患者固定效果,减少术后并发症。Objective To compare the effect of short segment internal fixation of injured vertebra with and without screw on thoracolumbar burst fracture.Methods A total of 93 patients with thoracolumbar burst fracture admitted to Yancheng Third People’s Hospital from December 2018 to October 2020 were selected and divided into control group with 46 cases and observation group with 47 cases according to computer grouping method.The control group was treated with short segment internal fixation without screw placement,and the observation group was treated with short segment internal fixation with screw placement in the injured vertebra.Perioperative indicators,fixation effect and postoperative complications of the two groups were observed.Results There were no significant differences in operation time,hospital stay and intraoperative blood loss between the two groups(P>0.05).Six months after surgery,Cobb’s angle and wedge angle of injured vertebra in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group(2.13%)was lower than that in the control group(17.39%),and the difference was statistically significant(P<0.05).Conclusion The injury vertebral nail and the non-resettile short segment fixed treatment of chest and lumbar burst fractures are equivalent to the perioperative indicators,but compared with the immobilization of the nail segment,the racebreck can improve the breast-hethum.Fracture effects of fracture,reducing postoperative complications.

关 键 词：胸腰椎爆裂骨折 置钉短节段内固定 不置钉短节段内固定 

分 类 号：R683.2[医药卫生—骨科学]