跳跃性胸腰椎多段脊柱骨折不同治疗方法的效果及对患者生活质量的影响  

The Effect of Different Treatment Methods on the Quality of Life of Patients with Jumping Thoracolumbar Multi-segmental Column Fracture

作　　者：李裕汉[1] 黄超宇 朱伯顷 

机构地区：[1]化州市人民医院,广东化州525100

出　　处：《中国伤残医学》2022年第11期6-9,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:研究跳跃性胸腰椎多段脊柱骨折手术治疗的效果.方法:选择2016年1月-2019年1月纳入的40例跳跃性胸腰椎多段脊柱骨折患者,按随机数字表法划分成2组,各20例,观察组接受手法复位支具治疗,对照组接受手术治疗,比较2组术后即时、术后1天、1周、1个月、3个月、6个月、1年的椎体高度保持率,在术前、术后1天、3天、1周、1个月、3个月、4个月测定2组的视觉模拟(VAS)评分;同时在手术后3个月测评2组总有效率;统计并发症(椎体塌陷、切口感染、腰背部疼痛等)发生率,比较2组手术结果.结果:2组术后即时的椎体高度保持率相比无差异(P>0.05),术后1天、1周、1个月、3个月、6个月、1年观察组椎体高度保持率低于对照组(P<0.05).术前2组VAS评分相比无差异(P>0.05),术后1天、3天、1周、1个月、3个月、4个月2组评分均明显降低,但观察组更低于对照组(P<0.05).观察组总有效率为85.00%,与对照组的80.00%相比无差异(P>0.05),但并发症发生率为10.00%,低于对照组的40.00%(P<0.05).结论:手法复位支具治疗可获得良好的治疗效果,同时避免手术带来的损伤,维持患者椎体高度,有效缓解疼痛.Objective:To study the effect of surgical treatment of jumping thoracolumbar spine fracture. Meth-ods:From January 2016 to January 2019 ,40 patients with jump thoracolumbar spine multiple column fracture were divided into two groups according to random number table, 20 patients in study group were treated with manual re-duction of brace, and 20 patients in control group were treated with surgery, the vertebral height retention rates were compared between the two groups immediately, 1 day, 1 week, 1 month, 3 months, 6 months and 1 year after opera-tion, the visual analogue ( Vas) scores were measured before operation, 1 day, 3 days, 1 week, 1 month, 3 months and 4 months after operation, the incidence of complications ( vertebral collapse, incision infection, low back pain, etc. ) was analyzed and the results were compared between the two groups. Results:There was no difference in im-mediate postoperative vertebral height retention between the two groups ( P & GT;0 . 05 ) . The vertebral height re-tention rate of the Study Group was lower than that of the control group at 1 D, 1 week, 1 month, 3 months, 6 months and 1 year postoperatively ( p < 0 . 05 ) . There was no significant difference in VAS scores between the two groups before Operation ( P & GT;0 . 05 ) , but the scores of the study group were lower than those of the control group at 1 D, 3 D, 1 week, 1 month, 3 months and 4 months after operation (p < 0. 05) . The total effective rate of the study group was 85. 00% compared with the control group (80. 00% , p > 0. 05) , but the complication rate was 10 . 00% lower than that of the control group ( 40 . 00% , p < 0 . 05 ) . Conclusion: Manual Reduction Brace Treatment can obtain good therapeutic effect, avoid injury caused by surgery, maintain the patient's vertebral height, and effectively relieve pain.

关 键 词：椎体高度 疼痛评分 胸腰椎多节段脊柱骨折 手术治疗 

分 类 号：R683.2[医药卫生—骨科学]