[1]刘彬,张廷伟,李佳佳,等.骨盆牵引联合充气式弹性脊柱牵引器外固定治疗胸腰椎压缩骨折983例[J].中国中医骨伤科杂志,2024,32(02):82-85.[doi:10.20085/j.cnki.issn1005-0205.240215]
　LIU Bin ZHANG Tingwei LI Jiajia TAN Yuanchao YANG Yongjun WU Rui ZHOU Jiping.983 Cases Treatment of Thoracolumbar Compression Fractures with Traction Combined with Inflatable Elastic Spinal Traction Device[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(02):82-85.[doi:10.20085/j.cnki.issn1005-0205.240215]
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骨盆牵引联合充气式弹性脊柱牵引器外固定治疗胸腰椎压缩骨折983例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年02期
页码:
82-85
栏目:
临床报道
出版日期:
2024-02-15

文章信息/Info

Title:
983 Cases Treatment of Thoracolumbar Compression Fractures with Traction Combined with Inflatable Elastic Spinal Traction Device
文章编号:
1005-0205(2024)02-0082-04
作者:
刘彬1; 张廷伟1; 李佳佳1; 谭远超1; 杨永军1; 吴瑞1; 周纪平1△
1山东省文登整骨医院(山东 威海,264400)
Author(s):
LIU Bin1 ZHANG Tingwei1 LI Jiajia1 TAN Yuanchao1 YANG Yongjun1 WU Rui1 ZHOU Jiping1△
1Wendeng Orthopedic Hospital of Shandong Province,Weihai 264400,Shandong China
关键词:
胸腰椎骨折;  保守治疗;  骨盆牵引;  脊柱牵引器
Keywords:
thoracolumbar fracture;  conservative treatment;  pelvic traction;  spinal tractor
分类号:
R683.2
DOI:
10.20085/j.cnki.issn1005-0205.240215
文献标志码:
B
摘要:
目的:采用骨盆牵引联合充气式弹性脊柱牵引器外固定治疗胸腰椎压缩骨折,评价其临床疗效。方法:收集2017年1月至2022年5月收治的胸腰椎压缩骨折患者983例,其中男753例,女230例; 年龄为27～72岁,中位数为62岁; 均为单节胸腰椎骨折,胸腰椎损伤分类和严重程度(TLICS)评分小于4分,采用保守治疗方式。住院时间为3周,治疗方案为入院后即卧平板床,气囊托板垫于骨折节段,同时给予骨盆牵引,牵引质量为10～15 kg,牵引时间为40～60 min/次,每次牵引间隔1 h,牵引5～6次/d,3周后佩戴充气式弹性脊柱牵引器外固定起床活动,佩戴时间为90 d。记录治疗前、治疗3周、3个月及末次随访时,疼疼痛视觉模拟量表(VAS)评分及Oswestry功能障碍指数(ODI)评分,评价临床疗效; 测量骨折椎体前缘高度及骨折椎体节段Cobb角,评价骨折复位效果及复位维持情况。结果:983例患者获得12个月以上随访,治疗3周、3个月及末次随访时腰痛VAS评分与治疗前比较明显降低,差异有统计学意义(P<0.05); 治疗3周、3个月及末次随访时ODI评分,较治疗前明显改善,差异有统计学意义(P<0.05); 末次随访骨折椎体前缘高度复位率及骨折椎体Cobb角较治疗前显著改善,差异有统计学意义(P<0.05)。末次随访时,依据《中医病证诊断疗效标准》中胸腰椎骨折疗效标准分为优、良、差,该治疗方案的优良率为95.52%。结论:骨盆牵引联合充气式弹性脊柱牵引器外固定治疗胸腰椎压缩骨折的保守治疗方案,临床疗效显著,操作简单,易于执行,有推广应用价值。
Abstract:
Objective:To evaluate the clinical efficacy of pelvic traction combined with inflatable elastic spinal traction device for external fixation in the treatment of thoracolumbar compression fractures.Methods:To evaluate the clinical efficacy of pelvic traction combined with inflatable elastic spinal traction device for external fixation in the treatment of thoracolumbar compression fractures.From January 2017 to May 2022,983 patients with thoracolumbar compression fractures were collected,including 753 males and 230 females,aged 27 to 72 years old,with a median age of 62 years old.All of them were single thoracolumbar fractures.The thoracolumbar injury classification and severity(TLICS)scores were less than 4,and conservative management was adopted.The hospitalization time is 3 weeks,and the treatment plan is to lie on a flat bed after admission,place an airbag support plate on the fracture segment,and provide pelvic traction.The traction weight is 1015 kg,and the traction time is 4060 min/times.The traction interval is 1 h,and the traction times is 56 times/d.After 3 weeks,wear an inflatable elastic spinal traction device for external fixation and waking up for a total of 90 d.Record the visual analogue scale(VAS)score and Oswestry disability index(ODI)of pain and pain before treatment,3 weeks of treatment,3 months of treatment,and the last follow-up to evaluate clinical efficacy.Measure,the height of the anterior edge of the fractured vertebral body and the Cobb angle of the fractured vertebral body segment to evaluate the reduction effect and maintenance of the fracture.Results:983 patients were followed up for more than 12 months and treated for 3 weeks.At 3 weeks, 3 months and the last follow-up,the VAS score of low back pain significantly decreased compared to before treatment,with a statistically significant difference(P<0.05).The ODI score at 3 weeks,3 months,and the last follow-up showed significant improvement compared to before treatment,with a statistically significant difference(P<0.05).The reduction rate of the anterior edge height of the fractured vertebral body and the Cobb angle of the fractured vertebral body were significantly improved in the last follow-up compared to before treatment,and the difference was statistically significant(P<0.05).At the last follow-up,according to the diagnostic efficacy criteria of traditional Chinese medicine for thoracolumbar fractures,the treatment plan was classified as excellent,good,and poor.The excellent and good rate of this treatment plan was 95.52%.Conclusion:The conservative management scheme of traction combined with inflatable elastic spinal retractor for the treatment of thoracolumbar compression fractures has significant clinical effect,simple operation,easy implementation,and has popularization significance.

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备注/Memo

备注/Memo:
基金项目:齐鲁医派中医学术流派传承项目(鲁卫函〔2022〕93号)
△通信作者 E-mail:wdzglb@163.com
更新日期/Last Update: 2024-02-15