胸腰椎多节段脊柱骨折手术治疗效果分析

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英文篇名：Treatment of Multi-level Thoracolumbar Spine Fracture 作者：于学海 ; 张海洁 英文作者：YU Xue-hai;ZHANG Hai-jie;Department of Orthopedics,Zhaoyuan Hospital of Traditional Chinese Medicine;Department of Orthopedics, Guangrao County People's Hospital; 关键词：胸腰椎多节段脊柱骨折 ; 前路手术 ; 后路手术 ; 治疗效果 ; 生活质量 英文关键词：Multi-level thoracolumbar spine fracture;;Anterior surgery;;Posterior surgery;;Therapeutic effect;;Quality of life 中文刊名：SJFH 英文刊名：World Journal of Complex Medicine 机构：招远市中医医院骨科;东营市广饶县人民医院骨一科; 出版日期：2019-05-15 出版单位：世界复合医学 年：2019 期：v.5 语种：中文; 页：SJFH201905039 页数：3 CN：05 ISSN：10-1273/R 分类号：123-125

摘要

目的探讨在治疗胸腰椎多节段脊柱骨折时使用手术的效果分析。方法回顾性分析收集2016年7月—2018年7月该院接受胸腰椎多节段脊柱骨折手术的患者52例,随机分为对照组和试验组,每组26例,对照组使用后路手术治疗,试验组使用前路手术治疗,比较两组治疗效果,并发症发生率,手术时间、手术中出血量、住院时间以及手术后Fugl-Myer评分、Barthel评分、患者生活质量评分、SF-36评分以及。结果对胸腰椎多节段脊柱骨折进行前路和后路手术的并发症和手术时间、手术中出血量没有明显差异(P>0.05)。前路手术治疗效果和术后生活质量、Barthel评分(78.92±11.36)分、Fugl-Myer评分(70.65±6.18)分、SF-36评分(74.22±8.05)分明显优于后路手术(t=5.829 5,5.922 9,6.723 4,P<0.05),住院时间(24.18±3.64)d明显短于后路手术(t=12.909 0,P<0.05)。结论对胸腰椎多节段脊柱骨折进行前路手术,效果显著,提高患者术后的生活质量,降低患者的住院时间,并且术后并发症少,手术时间和术中出血量也较少,改善患者Barthel评分、SF-36评分以及Fugl-Myer评分,因此可在临床中广泛应用。
        Objective To investigate the effect of surgery in the treatment of multi-level thoracolumbar spine fracture. Methods A retrospective analysis was made on 52 cases of thoracolumbar spine fracture treated in our hospital from July 2016 to July 2018. They were randomly divided into control group and experimental group, 26 cases in each group. The control group was treated by posterior surgery, while the experimental group was treated by anterior surgery. The therapeutic effect, complication rate, operation time, blood loss during operation, hospital stay, postoperative quality of life, Barthel score, SF-36 score and Fugl-Myer score of the two groups were compared. Results There was no significant difference in the complications, operation time and bleeding volume between anterior and posterior approaches for multi-level thoracolumbar spine fractures(P>0.05). The effect, postoperative quality of life, Bartel score(78.92±11.36)points, SF-36 score(74.22±8.05)points and Fugl-Myer score(70.65±6.18)points of anterior surgery were significantly better than posterior surgery(t=5.829 5, 5.922 9, 6.723 4,P<0.05). The hospitalization time(24.18±3.64) d was significantly shorter than the posterior surgery(t=12.909 0,P<0.05). Conclusion Anterior surgery for multi-level thoracolumbar spine fracture can improve the quality of life of patients, reduce the length of hospitalization, complications, operative time and intraoperative bleeding, and im-prove Barthel score, SF-36 score and Fugl-Myer score. Therefore, it can be widely used in clinic.

引文

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