摘要
目的:分析经Wiltse入路结合伤椎置钉治疗胸腰椎骨折的疗效。方法:选择2012年1月-2017年2月我院收治的胸腰椎骨折患者100例作为研究对象,所有患者均采用经Wiltse入路结合伤椎置钉治疗,分析临床治疗效果、手术前后COBB角度改变及术后6个月疼痛程度评分。结果:临床治疗有效率99%(99/100),其中显效62例、有效37例、无效1例,术后COBB角度为(3.28±0.25)°,且术后6个月疼痛程度评分为(2.8±1.0)分。结论:给予胸腰椎骨折患者经Wiltse入路结合伤椎置钉治疗,既可减少暴露范围,降低损伤,减少出血量,提高临床治疗有效率,又可缓解疼痛感,改善COBB角度,值得临床推广应用。
Objective： To analyze the curative effect of thoracolumbar fractures treated with Wiltse approach combined with vertebral fixation. Methods：100 patients with thoracolumbar fractures admitted from January 2012 to February 2017 in our hospital were selected as study objects. All patients were treated with Wiltse approach combined with vertebral pedicle screw fixation. The clinical effect, the COBB angle before and after surgery Change and postoperative pain score 6 months.Results： The effective rate of clinical treatment was 99%（99/100）,of which 62 cases were markedly effective, 37 cases effective and 1 case ineffective. The postoperative COBB angle was（3.28± 0.25） ° and the pain score at 6 months postoperatively was（2.8 ± 1.0） points.Conclusion： The patients with thoracolumbar fractures treated by Wiltse approach combined with vertebral pedicle screw fixation can not only reduce the exposure range,reduce the injury, reduce the amount of bleeding, improve the efficiency of clinical treatment, but also relieve pain and improve the angle of COBB, which is worthy of clinical application.
作者
陈文超
陈子华
刘丹
游军
方磊
Chen Wenchao, et al(Heyuan People＇s Hospital, a bone-Branch,Heyuan Guangdong 517000)
出处
《黑龙江医药》
CAS
2018年第2期400-401,共2页
Heilongjiang Medicine journal
