[1]王彬 林松青△ 尤志强 陈肖 谢增军 温清波.两种方法治疗胸腰椎压缩性骨折的对比分析[J].中国中医骨伤科杂志,2015,23(08):17-21.
　WANG Bin LIN Songqing YOU Zhiqiang CHEN Xiao XIE Zengjun WEN Qingbo.Analysis of the Clinical Effect of Thoracolumbar Compression Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(08):17-21.
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两种方法治疗胸腰椎压缩性骨折的对比分析
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年08期
页码:
17-21
栏目:
临床研究
出版日期:
2015-08-15

文章信息/Info

Title:
Analysis of the Clinical Effect of Thoracolumbar Compression Fractures
文章编号:
1005-0205(2015)08-0017-05
作者:
王彬1 林松青2△ 尤志强1 陈肖2 谢增军2 温清波2
1.湖南中医药大学(长沙,410007)
2.湖南中医药大学附属深圳市福田区中医院
△.通信作者 E-mail:sqlin8@163.com
Author(s):
WANG Bin1 LIN Songqing2△ YOU Zhiqiang1 CHEN Xiao2 XIE Zengjun2 WEN Qingbo2
1.Hunan University of Traditional Chinese Medicine,Changsha 410007,China
2.Futian District Hospital of Traditional Chinese Medicine,Affiliated to Hunan University of Traditional Chinese Medicine,Shenzhen 518034,Guangdong China
关键词:
胸腰椎压缩性骨折;  复位床托;  临床疗效
Keywords:
thoracolumbar vertebral compression fractures;  reset-bed;  clinical efficacy
分类号:
R683.2
文献标志码:
A
摘要:
目的:探讨单节段、无神经系统损伤的胸腰椎压缩性骨折手术治疗与自制胸腰椎骨折复位床托保守治疗的疗效。方法:2010年6月-2013年6月对深圳福田区中医院的胸腰椎压缩性骨折的患者进行回顾性分析,其中行胸腰椎后路经皮椎弓根钉棒系统内固定术治疗44例,行本科自制胸腰椎骨折复位床托治疗39例。结果:手术组及保守治疗组均取得满意疗效,两组总体疗效比较差异无统计学意义(P>0.05); 治疗2周后,两组的VAS评分、压痛评分、功能活动评分、椎体高度及Cobb角比较具有统计学意义(P<0.01),而床托组在VAS评分及压痛评分上的疗效优于手术组,手术组在椎体高度、Cobb角及功能活动评分上的疗效优于床托组; 治疗4周后,两组的VAS评分、压痛评分、椎体高度及Cobb角比较无统计学意义(P>0.05),而功能活动评分比较具有统计学意义(P<0.01),且手术组优于床托组; 治疗8周后,两组的功能活动评分比较无统计学意义(P>0.05)。结论:在单节段、无神经系统损伤的胸腰椎压缩性骨折的临床治疗中,手术治疗与保守治疗都能取得较好的远期疗效,但短期都有各自的利弊,临床医生应根据患者的意愿、经济情况、症状及体征,手术科室的医疗状况等诸多因素综合考量,从而选择最适合患者的治疗方式。
Abstract:
Objective:To investigate the therapeutic effect between surgical treatment and conservative treatment by reset-bed for treating single segment of thoracolumbar vertebral compression fractures,with no neurological damage.Methods:Retrospectively analyzed 83 patients with thoracolumbar compression fracture in Futian hospital of TCM from June 2010 to June 2013,44 patients were treated by percutaneous pedicle nail-stick system internal fixation,while the 39 patients were treated with thoracolumbar reset-bed.Results:The therapeutic effect of the two groups was satisfactory.There was no significant difference between the two groups in the total therapeutic effect(P>0.05).There was significant difference between the two groups in the VAS score,pressing pain score,functional activity score,vertebral height and Cobb angle 2 weeks after treatment(P<0.01).The therapeutic effect of VAS score and pressing pain score in reset-bed group was better than the surgical group,while the therapeutic effect of vertebral height,Cobb angle,and functional activity score in the surgical group was better than the reset-bed group.There was no significant difference between the two groups in the VAS score,pressing pain score,vertebral height,and Cobb angle 4 weeks after treatment(P>0.05),but the functional activity score in the surgical group was better than the reset-bed group(P<0.01).There was no significant difference between the two groups in the functional activity score 8 weeks after treatment(P>0.05).Conclusion:The long-term therapeutic effect of surgical and conservative treatment for treating single segment of thoracolumbar vertebral compression fractures with no neurological damage is both better.But there are advantages and disadvantages in the two treatment methods in short-term.Clinicians should select the most appropriate treatment to the patients based on comprehensive consideration,such as the wishes of the patient,the economic situation,the symptoms and signs,the medical condition of surgical departments,and other factors.

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备注/Memo

备注/Memo:
收稿日期:2015-02-01
更新日期/Last Update: 2015-08-15