摘要
目的针对胸腰椎爆裂性骨折行改进侧前方手术径路的治疗效果进行研讨。方法对我院在2010年3月至2011年11月所收治的36例胸腰椎爆裂性骨折患者采取随机分配的方式分为治疗组与对照组,治疗组行改进的侧前方手术径路治疗,对照组行传统的胸腹膜外入路治疗,比较两组患者术中出血量、手术时间、最终治疗效果。对患者骨折情况进行随访3~12个月。结果 36例患者手术均取得成功,治疗组在手术过程中出血量、总出血量、手术时间均少于对照组,两组患者数据对比具有明显差异（P〈0.05）。随访两组患者术后均未出现感染、无截瘫加重、无植骨块塌陷等情况出现。结论对胸腰椎爆裂性骨折患者行改进的侧前方手术路径治疗方法能够减少术中出血量、总出血量,减短手术时间,最大限度保证脊柱稳定性,降低脊髓损伤的发生概率,保证治疗效果,是治疗胸腰椎爆裂性骨折疗效较好的治疗方法。
Objective To discuss the surgical approach improved side in front of thoracolumbar burst fracture line treatment effect. Methods 36 cases admitted to our hospital in March 2010-November thoracolumbar burst fracture patients were randomly divided into a treatment group and the control group, the treatment of lateral anterior surgical approach in the treatment group line improvements, the control group underwent traditional film outside the thoracoabdominal approach for treatment, the two groups were compared blood loss, operative time, the final treatment effect. Results 36 patients with surgery were successful, the treatment group in the amount of bleeding during surgery, the total amount of bleeding, surgery time was less than that of the control group, the two groups of patients with the comparison of the data with a significant difference （P〈0.05）. None of the follow-up postoperative infection, paraplegia heavier, graft collapse occurs. Conclusion The side of the front of thoracolumbar burst fractures were improved treatment of surgical path can reduce blood loss, the total amount of bleeding, shorter operative time, to ensure maximum stability of the spine and reduce the probability of the occurrence of spinal cord injury, to ensure that the treatment the effect of better treatment methods for the treatment of thoracotumbar burst fractures.
出处
《中国医药指南》
2013年第10期438-439,共2页
Guide of China Medicine
关键词
胸腰椎
爆裂性骨折
改进
手术径路
Thoracic and lumbar
Burst fracture
Improvement
Srgical approach
