摘要
目的：探讨中西医结合＂三步复位法＂治疗胸腰段脊柱爆裂骨折复位方法的临床疗效。方法：对医院脊柱外科收治的共计72例胸腰段脊柱发生爆裂骨折的患者应用中西医结合＂三步复位法＂进行治疗,对患者术前术后临床各项指标进行检测、统计,观察其临床治疗效果。结果：72例患者愈合良好,均为Ⅰ期愈合,术后3 d对患者各项检测指标进行检测显示,术后VAS疼痛评分与脊柱Cobbs角较术前显著降低,比较有显著性差异（P〈0.05）;术后椎体前缘高度比与椎管正中矢状径比值显著高于术前,比较差异有统计学意义（P〈0.05）;术后末次随访调差结果显示,VAS疼痛评分较术后3 d更低,比较差异有显著性（P〈0.05）。术后无神经损伤及感染等并发症的发生。结论：临床中应用中西医结合＂三步复位法＂对胸腰段脊柱爆裂骨折患者进行治疗,不仅能获得较为满意的脊椎正常体位的复位效果,而且还能重构脊柱椎体的高度,在一定程度上恢复患者的脊柱生物力学的性能,降低内固定之后因过大压力而导致的断钉、矫正失败等临床并发症,故是治疗胸腰段脊柱爆裂骨折的一种较为有效的方法,值得在临床推广应用。
Objective： To explore the clinical effect of three-step reduction method in the treatment of thoracolumbar spine fracture reduction. Methods： Seventy-two patients with thoracolumbar spine fractures were treated with traditional Chinese and western medicine combined with three-step reduction method. The clinical indexes of patients before and after operation were measured and statistically observed. Results： The patients healed well and were Ⅰ healing. 3 d after operation,the test indicators of patients showed that postoperative VAS pain score and spine Cobbs angle were significantly lower than those before surgery,adn there was a significant difference（ P 〈 0. 05）. The ratio of the height of the anterior vertebral body to the median diameter of the vertebral canal was significantly higher than that before operation（ P 0. 05）. The postoperative score of the last follow-up showed the VAS pain score was significant（ P 〈 0. 05）. Postoperative neurological damage and infection and other complications did not occur. Conclusion： The application of three-step reduction method in the treatment of thoracolumbar spondylolisthesis fractures can not only obtain the satisfactory effect of the normal position of the spine,but also reconstruct the height of the vertebral body. To a certain extent,to restore the patients＇ spine biomechanical performance and reduce the internal fixation due to excessive pressure caused by broken nails and correct failure and other clinical complications are more effective methods of thoracolumbar spine fractures,worthy of clinical application.
作者
肖曦
龙亨国
熊小春
XIAO Xi;LONG Hengguo;XIONG Xiaochun(Department of Spinal Surgery, Zhoushan Hospital of Traditional Chinese medicine, Zhoushan 316000, Zhejiang, China)
出处
《中华中医药学刊》
CAS
北大核心
2018年第4期974-976,共3页
Chinese Archives of Traditional Chinese Medicine
基金
浙江省中医药科学研究基金项目(2012ZB170)
