【摘要】 目的:研究经伤椎单节段固定和跨伤椎短节段固定对于胸腰椎骨折进行治疗的临床疗效。方法:从2011年6月至2014年6月,选择我院100例胸腰椎骨折患者作为研究对象。以数字法随机分为观察组50例以及对照组50例。观察组患者行经伤椎单节段固定,对照组患者行跨伤椎短节段固定,对比观察两组的临床效果。结果:观察组患者术中出血量及手术时间均明显低于对照组,差异均具有统计学意义(P<0.05)。对两组患者手术前后的影像学检测结果进行比较,手术前后两组的压缩率以及Cobb角比较均无显著差异(P>0.05),对所有患者进行末次随访时发现,观察组的压缩率明显高于对照组,Cobb角明显低于对照组,差异均具有统计学意义(P<0.05)。治疗前两组在社会功能,情感职能以及躯体疼痛评分比较上均无统计学差异(P>0.05),治疗后两组以上评分较治疗前均明显升高,并且观察组显著高于对照组,差异均具有统计学意义(P<0.05)。结论:使用经伤椎单节段固定较跨伤椎短节段固定方式能更好地恢复患者Cobb角度,对于预防手术之后矫正度的丢失性具有明显优势,且其有利于术后患者生活质量的提高,值得临床推荐使用。更多还原

【Abstract】 Objective: To study the clinical effect of injured vertebra single segmental fixation and across injured vertebra short segmental fixation in the treatment of thoracic and lumbar fractures. Methods: A total of 100 patients with thoracic and lumbar fractures,who were treated in People’s Hospital of Qintang District of Guigang from June 2011 to June 2014, were randomly divided into observation group(n=50) and control group(n=50). The observation group was treated with injured vertebra single segmental fixation, while the control group, with across injured vertebra short segmental fixation. Then the clinical effects of two groups were compared. Results: The intraoperative bleeding amount and operation time of observation group were significantly less than those of control group, the differences were statistically significant(all P<0.05). There was no significant difference in the compression ratio and Cobb angle of two groups before and after operation(P>0.05), but all the patients were followed up for the last time;the results showed that the compression ratio of the observation group was significantly higher than that of the control group,while the Cobb angle of the observation group, lower than that of the control group, the difference was statistically significant(P<0.05). There was no significant difference in the social function,emotional function and body pain score of the two groups before treatment(P>0.05), but after treatment, the above indexes score of the two groups significantly increased, and the above indexes score of the observation group was significantly higher than those of the control group, the difference was statistically significant(P<0.05). Conclusion: Using injured vertebra single segmental fixation can restore the Cobb angle of patients, better than using across injured vertebra short segmental fixation in the patients with thoracic and lumbar fractures, with the advantages of preventing the loss of postoperative correction and improving the life quality of patients, which is worthy of clinical application.更多还原