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《經(jīng)椎旁肌間隙入路傷椎內(nèi)固定治療無神經(jīng)損傷胸腰椎骨折臨床效果觀察-論文.pdf》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫。
1、國際醫(yī)藥衛(wèi)生導(dǎo)報2014年第20卷第15期IMHGN，August2014，Vo1．20No．15經(jīng)椎旁肌間隙人路傷椎內(nèi)固定治療無神經(jīng)損傷胸腰椎骨折臨床效果觀察王正祥劉衛(wèi)華潘紹松董錫亮趙偉楊子斌呂喬程微【摘要】目的探討經(jīng)椎旁肌間隙人路傷椎內(nèi)固定治療無神經(jīng)損傷胸腰椎骨折的臨床療效。方法將600例胸腰椎骨折患者分為觀察組和對照組，兩組患者均給予椎弓根釘棒系統(tǒng)治療，觀察組采用經(jīng)椎旁肌間隙人路，對照組采用傳統(tǒng)后正中人路，觀察兩組患者治療效果。結(jié)果觀察組患者術(shù)中出血量、術(shù)后臥床時間、術(shù)后疼痛評分明顯低于對照組(P<0．05)；兩組患
2、者Cobb角糾正率及椎體塌陷糾正率比較差異無統(tǒng)計學(xué)意義(P>0．05)。結(jié)論經(jīng)椎旁肌間隙入路傷椎內(nèi)固定治療無神經(jīng)損傷胸腰椎骨折，具有手術(shù)創(chuàng)傷小、術(shù)中出血量少、術(shù)后恢復(fù)快等優(yōu)點，符合現(xiàn)代微創(chuàng)治療理念。【關(guān)鍵詞】胸腰椎骨折；經(jīng)椎旁肌間隙入路；傳統(tǒng)后正中人路Observationonclinicalefectsoftreatingthoracolumbarfractureswithoutnervedamagesviaposteriorpediclefixationandvertebralbonegraftthroughthega
3、pofparaspinalmusclesWangZhengxiang,LiuWeihua，PanShaosong,DongXiliang,ZhaoWei,餾Zibin，LvQiao,ChengWei．TheFirstDepartmentofOrthopaedics，ThePeople’sHospitalofDalizhou，Da]i671000,China【Abstract】ObjectiveTodiscusstheclinicaleffectsoftreatingthoracolumbarfractureswithout
4、nervedamagesviaposteriorpediclefixationandvertebralbonegraftthroughthegapofparaspinalmuscles．Methods600patientsofvertebralfracturesweredividedintothegroupsofobservationandcontro1．Thesystematictherapiesofthepediclescrewweregiventopatients，throughthegapofparaspinalm
5、usclesfortheobservationgroup，andthroughthetraditionalposteriorapproachforthecontrolgroup．Thenweobservedtheeficacyinbothgroups．ResultsFheobservationgroupwasobviouslylessthanthecontrolgroupintermsofthebloodlossduringtheoperation．bedtimeandpainscoresaftertheoperation
6、<0．05)．ThecorrectionrateofbothCobbangleandvertebralcollapsewascomparabletooneanother>0．o5)．ConclusionTreatingthoracolumharfractureswithoutnervedamagesviaposteriorpediclefixationandvertebralbonegraftthroughthegapofparaspinalmuscles，hastheadvantagesoffewertraumasand
7、lessbloodlossduringtheoperation，andfastpostoperativerecovery，whichisconsistentwiththemodernminimallyinvasiveconcept．【Keywords】Thoracolumbarfractures；Gapofparaspinalmuscles；Traditionalposteriorapproach近年來，經(jīng)椎旁肌間隙人路傷椎內(nèi)固定在治療無x線片、CT、MRI檢查確診，均無神經(jīng)損傷表現(xiàn)。其神經(jīng)損傷胸腰椎骨折方面取得了較佳的臨
8、床效果，筆中采用傳統(tǒng)后正中入路傷椎內(nèi)固定術(shù)治療236例(對者觀察了兩種不同入路方法治療無神經(jīng)損傷胸腰椎骨照組)：男125例，女111例；年齡22～60歲，平折的臨床效果，并對比分析，旨在進一步探討經(jīng)椎旁均(45．21±5．42)歲；骨折部位：T，節(jié)段98例，L肌間隙人路傷椎內(nèi)固定治療無神經(jīng)損傷胸腰椎骨折
