首页> 中文期刊> 《中国继续医学教育》 >经后路椎体次全切除加椎间支撑骨治疗早期胸腰椎爆裂性骨折的效果研究

经后路椎体次全切除加椎间支撑骨治疗早期胸腰椎爆裂性骨折的效果研究

         

摘要

Objective Analysis the effect of posterior corpectomy add bone interbody support treatment early thoracolumbar burst fractures. Methods Divided 60 cases into the control group and the observation group with early thoracolumbar burst fracture randomly, each group had 30 cases. The control group adopt anterior interbody subtotal shaver support osteotomy, the observation group after posterior corpectomy and interbody support bone surgery, compared the patients were observed before postoperative pain, thoracic symptoms situation. Results Compared before surgery and thoracic pain scores symptom scores, P>0.05, had no statistically signiifcance. Postoperative pain score group (2.22±1.32) points was lower than the control group (4.11±1.33) points, while observing group thoracic symptom scores (20.45±1.24) points higher than that of (16.87±1.25) points, P<0.05, had difference statistically signiifcance. Conclusion Clinical observation group more precise surgical procedures can be generalized.%目的:分析经后路椎体次全切除加椎间支撑骨治疗早期胸腰椎爆裂性骨折的效果。方法将60例早期胸腰椎爆裂性骨折患者随机分为对照组与观察组,各30例。对照组实行经前路椎体次全切加椎间支撑骨术,观察组实行经后路椎体次全切除加椎间支撑骨术,观察两组患者术前术后的疼痛、胸腰椎症状情况。结果术前两组患者的疼痛评分与胸椎症状评分对比,P>0.05,差异不具有统计学意义。术后观察组的疼痛评分为(2.22±1.32)分,低于对照组的(4.11±1.33)分;同时观察组的胸腰椎症状评分为(20.45±1.24)分,高于对照组的(16.87±1.25)分,P<0.05,差异具有统计学意义。结论观察组手术方法疗效更确切。

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