[1]傅廷友 刘洋 张伟.前路和后路手术治疗胸腰椎骨折合并脊髓损伤的疗效对比[J].中国中医骨伤科杂志,2020,28(08):76-79.
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前路和后路手术治疗胸腰椎骨折合并脊髓损伤的疗效对比()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年08期
页码:
76-79
栏目:
临床报道
出版日期:
2020-08-10

文章信息/Info

文章编号:
1005-0205(2020)08-0076-04
作者:
傅廷友1 刘洋1 张伟1
1中国人民解放军第971医院骨二科(山东 青岛,266071)
关键词:
前路减压手术 后路减压手术 胸腰段骨折 脊髓损伤 临床疗效
分类号:
R683.2
文献标志码:
B
摘要:
目的:探讨外科手术治疗脊柱创伤合并脊髓损伤的临床疗效。方法:选取2017年1月至2019年5月在本院治疗的胸腰段骨折合并脊髓损伤患者106例,根据手术方案不同分为A组(n=56)和B组(n=50),A组给予前路减压手术,B组给予后路减压手术,观察两组治疗疗效、手术时间、术中出血量等,同时检测手术前后血小板衍生因子(PDGF)和血管内皮生长因子(VEGF)水平。结果:A组手术时间、术中出血量分别为(251.16±28.87)min和(601.11±68.46)mL,明显高于B组,差异有统计学意义(P<0.05); A组治疗疗效优于B组,差异有统计学意义(P<0.05),其总有效率为92.86%; A组术后3个月椎体高度、Cobb's角分别为(4.12±0.73)cm和(40.03±7.84)°,明显高于B组,差异有统计学意义(P<0.05); A组术后1周PDGF和VEGF分别为(320.06±65.55)pg/mL和(135.56±35.55)mg/mL,明显高于B组(P<0.05)。结论:相比后路减压术,前路减压术治疗脊柱创伤合并脊髓损伤有较好的效果,值得临床使用。

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备注/Memo

备注/Memo:
(收稿日期:2019-10-05)
更新日期/Last Update: 2020-08-10