摘要
目的探讨前后路手术治疗胸腰椎爆裂骨折临床疗效差异。方法回顾性分析笔者所在医院近年来收治的65例胸腰椎爆裂骨折患者的临床资料。结果前入路组和后入路组术前脊柱后凸角比较,差异无统计学意义(P>0.05);术后脊柱后凸角比较,差异有统计学意义(P<0.05)。两组患者的出血量、手术时间、并发症发生率比较,差异有统计学意义(P<0.05)。两组患者均无神经损伤加重病例,脊髓神经功能恢复情况比较,差异无统计学意义(P>0.05)。结论前后路手术在治疗胸腰椎爆裂骨折方面,具有不同的优缺点,需要根据患者的骨折类型、损伤程度和脊髓神经症状等来选择合适手术入路。
Objective To explore the anterior and posterior operation for the treatment of thoracolumbar burst fracture in clinical effect between.Methods Retrospective analysis of our hospital in recent years treated 65 cases of thoracolumbar burst fractures in patients with clinical data.Results The anterior and posterior group group of preoperative kyphosis angle,no significant difference（P〈0.05）;postoperative kyphosis angle,with a significant difference（P〈0.05）.In two groups of patients with bleeding,operation time,complication rate comparison,significant difference（P〈0.05）.Two groups of patients were not nervous injury cases,functional recovery of the injured spinal cord,no significant difference（P〉0.05）.Conclusion Anterior and posterior operation in the treatment of thoracolumbar burst fractures,with different advantages and disadvantages,need according to the patient＇s type of fracture,injury severity and spinal cord symptoms to choose a suitable operation approach.
出处
《中外医学研究》
2011年第34期4-5,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
胸腰椎爆裂骨折
内固定
前路手术
后路手术
Thoracolumbar vertebrae Burst fractures
Internal fixation
Anterior approach
Posterior approach
