| 宋作新,毛海蛟.严重不稳定腰椎骨折患者采用联合入路手术的方法及效果分析[J].浙江中西医结合杂志,2019,29(6): |
| 严重不稳定腰椎骨折患者采用联合入路手术的方法及效果分析 |
| The method and effect analysis of joint approach for patients with severe unstable lumbar fracture |
| 投稿时间：2018-03-22 修订日期：2019-04-19 |
| DOI： |
| 中文关键词: 前后路联合手术 不稳定性 腰椎骨折 |
| 英文关键词:Combined anterior and posterior approach instability fracture of the lumbar spine |
| 基金项目:2015年省医药卫生一般研究计划 2015KYB339 |
|
| 摘要点击次数: 1184 |
| 全文下载次数: 13 |
| 中文摘要: |
| 【】 目的 探讨采用前后路联合入路手术治疗严重不稳定性腰椎骨折患者的效果。方法采用回顾性研究方法对我院手术治疗的84例严重不稳定性腰椎骨折患者临床及术后康复资料进行研究,收集时间2014年3月至2016年5月,根据手术入路分为后路组47例、前后路联合手术37例(联合组),对比两组的手术时间、出血量、术后康复情况。结果联合组患者的手术时间、出血量均显著的高于对照组(P<0.05)；术前,两组患者的腰椎前凸角、椎体前方高度丢失、椎管前方占位测定值差异不具有统计学意义(P>0.05)；术后即刻、术后6个月,联合组腰椎前凸角测定值高于对照组(P<0.05),椎体前方高度丢失、椎管前方占位测定值显著的低于对照组(P<0.05)；术后6个月,联合组ASIA分级优于对照组(P<0.05)。结论前后路联合入路手术治疗严重不稳定性腰椎骨折患者手术时间长、术中出血量较多,但是手术后重建椎体高度级稳定性和患者的神经功能恢复效果更好。 |
| 英文摘要: |
| 【】ObjectiveTo explore the effect of combined anterior and posterior approach in the treatment of patients with severe unstable lumbar fracture.MethodsRetrospective study on hospital surgical treatment of 84 cases of severe patients with unstable thoracolumbar fractures after rehabilitation and postoperative clinical data research, collection time from March 2014 to May 2016, according to the 37 cases of surgical approach for posterior group in 47 cases, posterior combined surgery (combined group), rehabilitation group compared operative time, two the amount of bleeding, postoperative.ResultsThe combined group operation time, amount of bleeding in patients were significantly higher than the control group (P<0.05); before operation, two groups of patients with lumbar lordosis, vertebral height loss and anterior anterior occupying the measured value of the difference was not statistically significant (P>0.05); immediately after operation, 6 months after the surgery, combined with lumbar anterior group the lobe was higher than that in control group (P<0.05), anterior height loss and anterior occupying was significantly lower than that of the control group (P<0.05); 6 months after operation, group ASIA classification is better than that of control group (P<0.05).ConclusionCombined anterior and posterior approaches for surgical treatment of severe unstable lumbar fractures has long operation time and high intraoperative blood loss, but postoperative reconstruction has better stability of vertebral height and better recovery of neurological function. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
