不同入路手术治疗严重腰椎不稳定性骨折的临床研究

贾本治

（陕西省康复医院，陕西 西安，710065）

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摘要：

目的 探讨不同入路手术治疗严重腰椎不稳定性骨折的临床效果。方法 选取2013年9月至2016年10月在我院治疗的严重腰椎不稳定性骨折患者56例为研究对象，根据不同的入路手术方式分为对照组（常规后路手术治疗）与观察组（前后联合入路手术治疗），各28例。对比两组患者的临床疗效，治疗前、后的Cobb角与椎体前缘高度压缩率及手术时间、术中出血量、术后3 d总引流量。结果 观察组患者治疗总有效率（92.86%）高于对照组（71.43%）（P<0.05）；治疗后，两组Cobb 角与椎体前缘高度压缩率均降低，且观察组低于对照组（P<0.05）；对照组患者的手术时间、术中出血量与术后3 d总引流量优于观察组（P<0.05）。结论 采用前后联合入路手术治疗严重腰椎不稳定性骨折效果更为可观，值得广泛推广。

关键词：严重腰椎不稳定性骨折；Cobb 角；前后联合入路手术

中图分类号：R687.3文献标志码：A文章编号：2096-1413(2017)27-0081-02

Clinical study on different approach of surgery in the treatment of severe lumbar spinal instability fracture
JIA Ben-zhi
(Shaanxi Kangfu Hospital, Xi``an 710065, China)

ABSTRACT: Objective To study the clinical effect of different approach of surgery in the treatment of severe lumbar spinal instability fracture. Methods Fifty-six cases of patients with severe lumbar spinal instability fractures treated in our hospital from September 2013 to Octorber 2016 were selected as the study objects, and according to different ways of approach surgery, the patients were divided into control group (conventional posterior surgery) and observation group (joint anterior and posterior surgery), with 28 cases in each group. The clinical efficacy, Cobb angle, anterior vertebral height compression rate before and after operation, operation time, intraoperative blood loss and postoperative total flow rate of 3 d after operation were recorded and compared between the two groups. Results The total effective rate of the observation group (92.86%) was significantly higher than that in the control group (71.43%) (P<0.05); after treatment, the Cobb angle and anterior vertebral height compression rate of the two group significantly decreased, and those of the observation group were lower than the control group (P<0.05). The operative time, intraoperative blood loss and total drainage at 3 d after operation of the control group were better than those of the observation group (P<0.05). Conclusion Joint anterior and posterior surgery applied in the treatment of severe lumbar instability fracture has significant effect, which is worth popularizing widely.
KEYWORDS: severe lumbar spinal instability fractures; Cobb angle; joint anterior and posterior surgery

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