摘要
目的：探讨经后路跨伤椎固定与经伤椎固定治疗胸腰段脊柱骨折的临床疗效。方法：回顾性分析2010年1月～2014年10月我院收治的73例胸腰段脊柱骨折患者，经后路跨伤椎固定组（ n＝42例，A组）与经伤椎固定组（ n＝31例，B组），比较术中手术时间及出血量，术后临床疗效及随访期间相关并发症的情况。结果：随访1～5年，平均2．3±0．7年，失访9人。 A组与B组手术时间及术中出血量比较中，差异有统计学意义（P＜0．05），2组在术后临床疗效比较中，显效率及有效率差异均有统计学意义（P＜0．05），而无效率中比较，统计学差异不显著（P＞0．05）。随访终末期，A组发生1例于术后1．5年出现内固定松动，1例发生手术部位感染，B组无断钉、松动及手术部位感染发生，2组均无断钉情况。结论：2组固定方式均能改善患者症状，经伤椎固定治疗胸腰椎骨折具有明显的显效率，是一种很好的选择，但需注意手术时间及术中出血量问题，同时要监控术后相关并发症情况。
Objective：To investigate the across vertebral fixation and posterior vertebral fixation for the treatment of thoracolumbar spine fractures.Methods：Retrospective analysis in our hospital from January 2010 to October 2014 in 73 cases of thoracolumbar spinal fracture patients, the posterior inter vertebral fixation group （ n =42 cases, group A） and the vertebral fixation group （ n =31 cases, group B） ,which were compared in operation time and the amount of bleeding, postoperative complications related to the therapeutic effects and the follow-up period.Results：All the patients were followed up for 1-5 years, with an average of 2.3 ±0.7 years, and 9 were lost.There was significant difference between the A group and the B group in the operation time and blood loss （P〈0.05）, in the two groups, the clinical efficacy was statistically significant （P〈0.05）, and the difference clinical efficacy between the two groups was statis-tically significant （P〉0.05）.At the end of follow-up, 1 cases of internal fixation loosening in the A group after 1.5 years, 1 cases of surgical site infection, no broken nails, loosening and surgical site infection occurred in the B group.Conclusion：The two groups couldnbsp;improve the symptoms of patients, and it should be a very good choice to treat thoracolumbar fractures with vertebral fixation.However, it might be necessary to pay attention to the operation time and blood loss, the postoperative complications were monitored.
作者
刘晓峰
海拉提·瓦提别克
李文强
刘金凯
苏严柱
LIU Xiao -feng Herat Wa TeoBuick LI Wen -qiang et al(The Yili Friend Hospital, Yili, Xingjiang, 830000 Chin)
出处
《中国伤残医学》
2016年第20期23-25,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
胸腰段
骨折
椎弓根
后路
Thoracolumbar
Fracture
Pedicle
Posterior
作者简介
刘晓峰，本科，主治医师，研究方向：脊柱及四肢创伤研究，单位：伊犁哈萨克自治州友谊医院，邮编：835000
