手术治疗无脊髓损伤胸腰椎骨折23例效果分析.docVIP

手术治疗无脊髓损伤胸腰椎骨折23例效果分析 　　[摘要] 目的 探讨手术治疗无脊髓损伤的胸腰椎骨折的临床效果。 方法 选取本院收治的46例无脊髓损伤的胸腰椎骨折患者，随机均分为对照组和观察组，对照组患者进行保守治疗，观察组患者进行手术治疗，比较两组患者治疗前后的Cobb角和治疗总有效率的差异，治疗后均随访半年，观察两组患者的功能恢复情况。 结果 两组患者治疗后的Cobb角均较治疗前减小，差异有统计学意义（P0.05）。 结论 两种方法治疗无脊髓损伤的胸腰椎骨折均可取得较好的远期效果，手术治疗总体效果优于保守治疗，值得临床推广。 　　[关键词] 手术治疗；无脊髓损伤；胸腰椎骨折；临床疗效 　　[中图分类号] R683.2 [文献标识码] A [文章编号] 1674-4721（2013）11（c）-0057-02 　　Analysis on clinical efficacy of surgical treatment for 23 cases of thoracic and lumbar spinal cord injury without fracture 　　TAN Zhi-qiang LIAO Yong-de CHEN Qiu-sheng CHEN Ran 　　Department of Orthopaedics，Municipal Hospital of Ganzhou City in Jiangxi Province，Ganzhou 341000，China 　　[Abstract] Objective To investigate clinical efficacy of surgical treatment for 23 cases of thoracic and lumbar spinal cord injury without fracture. Methods 46 patients with thoracic and lumbar spinal cord injury without fracture in our hospital were randomly divided into control and observation group.Control group were received conservative treatment.Observation group were received Surgical treatment.The Cobb angle and total effective rate of two groups before and after treatment were compared.Functional recovery was followed up for six months. Results Cobb angle of two groups was decreased after treatment than before treatment （P0.05）. Conclusion Both of two methods can achieve better long-term results.The overall effect of surgical treatment is superior to conservative treatment.It′s worthy of clinical widely used. 　　[Key words] Surgery；without spinal cord injury；Thoracolumbar fractures；Clinical efficacy 　　胸腰椎骨折是临床常见的脊柱损伤，发生率约占脊柱骨折的90%[1]。对于合并脊髓损伤的胸腰椎骨折患者，尽早减压、内固定的疗效已被临床研究证实，对于无脊髓损伤的胸腰椎骨折患者，治疗上仍存在争议[2]。本研究以本院收治的46例无脊髓损伤的胸腰椎骨折患者作为研究对象，旨在探讨手术治疗无脊髓损伤的胸腰椎骨折的临床效果，现将结果报道如下。 　　1 资料与方法 　　1.1 一般材料 　　选取本院2011年5月～2013年5月收治的46例无脊髓损伤的胸腰椎骨折患者，随机分为对照组和观察组，每组23例。对照组男15例，女8例，年龄16～78岁，平均（46.48±6.43）岁，平均病程（22.15±4.35） h；致伤原因：高处坠落伤7例，交通事故伤10例，摔伤3例，重物砸伤1例，其他伤2例；损伤节段：T11 4例，T12 6例，L1 6例，L2 3例，L3 2例，L4 1例，L5 1例；Denis分型[3]：压缩性骨折12例，爆裂性骨折5例，