观察胸腰椎多节段脊柱骨折手术治疗的临床疗效.docVIP

观察胸腰椎多节段脊柱骨折手术治疗的临床疗效 　　[摘要] 目的 探讨胸腰椎多节段脊柱骨折手术的临床疗效。 方法 该研究报告选取了在该院接受治疗的胸腰椎多节段脊柱骨折患者60例为研究对象，征求患者治疗意愿后，分为观察组与对照组，观察组采用前路手术治疗，对照组采用后路手术治疗，分别采用不同术后观察患者手术疗效。结果 对照组椎体前缘高度为（22.28±4.02），后凸角为（17.61±2.88），观察组前缘高度为（32.01±4.32），后凸角为（5.23±3.08），观察组病变椎体的平均高度有显著改善（P0.05），观察组患者治疗有效率为96.67%；对照组患者治疗有效率为93.33%。结论 临床上在治疗胸腰椎多节段脊椎骨折时，应根据患者不同的骨折情况给予患者不同的手术治疗，[A1]前路手术对改善胸腰椎多节段脊柱骨折患者椎体前缘高度以及后凸角有着重要的作用，帮助患者减轻椎体压力，并对脊柱起良好固定作用。 　　[关键词] 胸腰椎多节段；脊柱骨折；手术治疗；临床疗效 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742（2015）06（a）-0046-02 　　Observation on Clinical Effect of Surgery for Spinal Fracture of Thoracolumbar Segments 　　LI Shao-ping，YANG Guang-yong，PAN Ji-chun 　　Department of Orthopaedics， the Peoples Hospital of Songming， Kunming， Yunnan Province， 651700 China 　　[Abstract] Objective To investigate the clinical curative effect of surgery for spinal fracture of thoracolumbar segments. Methods This study selected 60 patients in the hospital for treatment of thoracolumbar spine fracture as the research object and divided into observation group and control group with patients preferences. The observation group was given the anterior surgical treatment， while the control group was treated by posterior approach. Postoperative surgical curative effect of the two groups was observed. Results Control group fanterior flange height is （22.28±4.02）， lobe was（17.61±2.88）， after the observation group leading edge height is（32.01±4.32）mm， lobe was（5.23±3.08）， after the observation group of lesions the average height of the vertebral body has improved significantly （P0.05）， the observation group of patients treatment effective rate was 96.67%； The control group patients treatment effective rate was 93.33%. Conclusion Clinical in the treatment of thoracolumbar vertebral fractures， should give patients according to the different fracture of patients with different surgical treatment， in order to help patients reduce the pressure of vertebral body， and good fixation effect to the spine. 　　[Key words] Thoracol