胸腰椎多节段脊柱骨折应用手术治疗的价值分析(1)
[摘要] 目的 探讨胸腰椎多节段脊柱骨折应用手术治疗的价值。 方法 研究对象为方便选取该院62例胸腰椎多节段脊柱骨折患者，于2017年1月—2018年1月收治，并根据患者骨折的稳定性与否，划分为两组，即稳定性组、不稳定性组，两组各有31例。稳定性组接受保守治疗，或者是植钉固定，不稳定性组接受长节段、短节段固定术及前路固定术。手术治疗前后同时应用CT、MRI、X线技术，对患者的伤椎椎体前缘高度、后凸角进行检测，并对两组临床治疗效果进行统计处理。 结果 稳定性组临床治疗总体疗效(90.32%)与不稳定性组(93.55%)比较，结果差异无统计学意义(χ2=0.703，P>0.05)；手术治疗后，两组伤椎椎体前缘高度(32.3±4.3)、(30.9±4.4)mm均高于术前(23.6±3.7)、(23.5±3.8)mm，差异有统计学意义(t=8.539，P<0.05；t=7.086，P<0.05)；两组术后的后凸角(5.5±3.1)、(5.4±3.2)°均低于術前(17.3±2.3)、(17.2±2.1)°，差异有统计学意义(t=17.020，P<0.05；t=17.165，P<0.05)。 结论 对于胸腰椎多节段脊柱骨折患者而言，需根据其骨折类型实施合理的手术治疗方案，方可获得满意的内固定复位效果。
[关键词] 胸腰椎；脊柱骨折；手术治疗
[中图分类号] R687 [文献标识码] A [文章编号] 1674-0742(2018)05(c)-0096-03
[Abstract] Objective This paper tries to explore the value of surgical treatment for thoracolumbar spinal fractures with multiple segments. Methods The subjects of the study were 62 patients with thoracic and lumbar multisegmental spinal fractures in our hospital were convenient selected. They were treated from January 2017 to January 2018. They were divided into two groups according to the stability of the patients' fractures. There were 31 cases in each group. The stability group received conservative treatment or nail fixation， and the unstable group received long segment， short segment fixation， and anterior fixation. CT， MRI， and X-ray techniques were applied before and after the surgery to detect the height of the vertebral anterior and kyphosis angles of the injured vertebrae. The clinical treatment effects of the two groups were statistically processed. Results There was no statistically significant difference in the overall efficacy between the stable group (90.32%) and the unstable group (93.55%) (χ2=0.703， P>0.05). After surgery， the traumatic vertebral body anterior height of both groups (32.3±4.3) mm and (30.9±4.4) mm were significantly higher than preoperative (23.6±3.7) mm and (23.5±3.8) mm， with significant differences (t=8.539， P<0.05； t=7.086， P<0.05). The postoperative kyphosis angles (5.5±3.1)° and (5.4±3.2)° were lower than preoperative (17.3±2.3)° and (17.2±2.1)°， with significant differences (t=17.020， P<0.05； t=17.165， P<0.05). Conclusion For thoracic and lumbar multisegmental spinal fracture patients， a reasonable surgical treatment plan should be performed according to the type of fracture， in order to obtain a satisfactory internal fixation reduction effect.
[Key words] Thoracolumbar spine； Spinal fracture； Surgical treatment
胸腰椎多节段脊柱骨折指的是除了横突、棘突之外的两个或多个脊柱阶段的骨折[1]。现阶段，该病在临床中具有较高的好法律，主要致伤原因包括车伤、高处跌落或坠落，就患者个体化差异以及临床表现、体征特殊性，临床漏诊率、误诊率较大，增大了临床治疗难度，同时也降低了患者的生活质量[2]。基于此，对于胸腰椎多节段脊柱骨折患者需尽早予以诊疗，提升其生命质量，临床意义、作用十分重大[3]。基于此，该文特此就该院于2017年1月—2018年1月收治的62例胸腰椎多节段脊柱骨折患者作为研究对象，在遵循个体化原则的基础之上，为期实施合理的手术治疗方案，且疗效十分满意，现报道如下。, http://www.100md.com(宋德洋)
[关键词] 胸腰椎；脊柱骨折；手术治疗
[中图分类号] R687 [文献标识码] A [文章编号] 1674-0742(2018)05(c)-0096-03
[Abstract] Objective This paper tries to explore the value of surgical treatment for thoracolumbar spinal fractures with multiple segments. Methods The subjects of the study were 62 patients with thoracic and lumbar multisegmental spinal fractures in our hospital were convenient selected. They were treated from January 2017 to January 2018. They were divided into two groups according to the stability of the patients' fractures. There were 31 cases in each group. The stability group received conservative treatment or nail fixation， and the unstable group received long segment， short segment fixation， and anterior fixation. CT， MRI， and X-ray techniques were applied before and after the surgery to detect the height of the vertebral anterior and kyphosis angles of the injured vertebrae. The clinical treatment effects of the two groups were statistically processed. Results There was no statistically significant difference in the overall efficacy between the stable group (90.32%) and the unstable group (93.55%) (χ2=0.703， P>0.05). After surgery， the traumatic vertebral body anterior height of both groups (32.3±4.3) mm and (30.9±4.4) mm were significantly higher than preoperative (23.6±3.7) mm and (23.5±3.8) mm， with significant differences (t=8.539， P<0.05； t=7.086， P<0.05). The postoperative kyphosis angles (5.5±3.1)° and (5.4±3.2)° were lower than preoperative (17.3±2.3)° and (17.2±2.1)°， with significant differences (t=17.020， P<0.05； t=17.165， P<0.05). Conclusion For thoracic and lumbar multisegmental spinal fracture patients， a reasonable surgical treatment plan should be performed according to the type of fracture， in order to obtain a satisfactory internal fixation reduction effect.
[Key words] Thoracolumbar spine； Spinal fracture； Surgical treatment
胸腰椎多节段脊柱骨折指的是除了横突、棘突之外的两个或多个脊柱阶段的骨折[1]。现阶段，该病在临床中具有较高的好法律，主要致伤原因包括车伤、高处跌落或坠落，就患者个体化差异以及临床表现、体征特殊性，临床漏诊率、误诊率较大，增大了临床治疗难度，同时也降低了患者的生活质量[2]。基于此，对于胸腰椎多节段脊柱骨折患者需尽早予以诊疗，提升其生命质量，临床意义、作用十分重大[3]。基于此，该文特此就该院于2017年1月—2018年1月收治的62例胸腰椎多节段脊柱骨折患者作为研究对象，在遵循个体化原则的基础之上，为期实施合理的手术治疗方案，且疗效十分满意，现报道如下。, http://www.100md.com(宋德洋)