胸腰椎爆裂性骨折手术及时间的选择对神经损伤恢复的影响探析

摘要

Objective:To analysis the thoracolumbar burst fracture surgery and time choice for patients with nerve injury recovery effect. Methods:The patients sixty cases, according to the operation time divided the patients into three groups:0~3 d, 4~7 d and 7 d repair group, followed up for 2 years, compared with the neural injury recovery. Results:Compared with before the operation, 0~3 d and 4~7 d in the surgical patients were followed up for after the end of the nerve function recovery significantly (P<0.05), including 0~3 d group recovery more apparent. After the end of follow-up, 7 d after surgery neural function a preoperative difference was not statistically significant (P>0.05). Conclusion:The thoracolumbar burst fracture surgery time should be controlled in less than 7 d, in conditions allow the sooner, the better.%目的：探析胸腰椎爆裂性骨折手术及时间的选择对于患者神经损伤恢复的影响。方法：选取我院收治的胸腰椎爆裂性骨折患者60例,按手术时间将患者分为三组：0~3d、4~7d和7d手术组,随访2年,比较各组患者神经损伤的恢复情况。结果：与手术前相比较,0~3d和4~7d手术组患者随访结束后的神经功能显著恢复(P<0.05),其中0~3d组的恢复更加明显。随访结束后,7d后手术组的神经功能较术前差异无统计学意义(P>0.05)。结论：胸腰椎爆裂性骨折手术时间应控制在7d以内进行,在条件允许的情况下越早越好。