自制充气复位器加牵引下复位与单纯牵引复位治疗单纯性胸腰椎骨折的比较(1)
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摘 要：目的：通过应用两种方法：牵引辅助下充气复位、牵引复位，治疗新鲜胸腰椎骨折，观察其复位效果并进行比较。方法：所有研究病例120例，均为新鲜的胸腰椎骨折，均为胸腰椎楔型骨折，将120例病例分为A、B组，每组60例，A组病例应用牵引复位，B组病例应用牵引下充气复位。于复位前、复位后拍片，行椎体前缘高度、Cobb角的影像学测量和计算。结果：A组病例复位后骨折椎体前缘的压缩率、Cobb角改善率较复位前改善不明显，B组病例复位后骨折椎体前缘的压缩率、Cobb角改善率较复位前改善显著。结论：单独应用牵引复位复位新鲜胸腰椎骨折复位效果不好，应用牵引辅助下自制充气复位器复位新鲜胸腰椎骨折复位效果显著：牵引辅助下充气复位器复位是治疗新鲜胸腰椎楔型骨折的有效方法。
关键词：牵引；胸腰椎骨折；治疗；充气复位
中图分类号：R274.1
文献标识码：B
文章编号：1673-7717(2012)04-0815-03
Comparison of Single Traction Reduction and Inflatable Repositor plus Traction Reduction Treating Single Thoracolumbar Fracture
ZHOU Cheng-hong, HUANG Wei, LONG Heng-guo
(Zhoushan Group Hospital of TCM Orthopedics，Zhoushan 316000，Zhejiang，China)
Abstract:Objective: Through the application of the two methods：inflatable repositor plus traction reduction and single traction reduction treating fresh thoracolumbar fractures，to observe and compare the repositioning effect. Methods：120 cases of fresh thoracolumbar fractures were all the wedge fractures of thoracic and lumbar vertebrae and they were divided into A and B groups，and 60 cases in each group. Cases in A group applied single traction reduction，group B applied inflatable repositor plus traction reduction. Screening was needed before and after reduction，height of anterior border of the vertebrae as well as the Angle of the margin Cobb imaging measurement and calculation were made. Results：The compression ratio and Cobb edge horn in group A were not obvious，but in group B improved significantly. Conclusion：The effect of single traction reduction treating fresh thoracolumbar fractures is not very satisfied，the application of inflatable repositor plus traction reduction has significant effect and it is an effective treatment for fresh thoracolumbar fracture.
Key words:traction；thoracolumbar fractures；treatment；inflatable reduction
胸腰椎压缩骨折临床较常见，多见于T10～L2,对不稳定骨折，临床上多采用手术，对于稳定型胸腰椎压缩骨折的治疗方法也多种方法，国内外有多种治疗方法，有手术治疗，也有保守治疗，保守治疗方法很多，如手法复位、充气复位、牵引复位、垫枕复位等[1-3],但究竟哪个方法更理想呢，未见文献提及。自2007年3月-2011年2月，我院分别应用牵引辅助下自制充气复位器复位、牵引下复位治疗新鲜胸腰椎骨折，测量复位效果。总结出应用牵引辅助下充气复位器复位新鲜胸腰椎骨折复位效果显著，常规应用于临床，现报道如下。
1 资料和方法
1.1 一般资料
本研究共120病例，男67例，女53例，年龄26～81岁，平均56岁。跌伤82例，车祸伤11例，高处坠落伤22例，其它伤5例，分为两组，每组60例。损伤部位均为T10-L2的胸腰段压缩性骨折，其中T10: 3例，T11：13例，T12：36例，L1：51例，L2：17例。外伤至住院时间1h~3天，平均10h ......
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