| 摘要: |
| ［摘要］ 目的 观察椎旁肌间隙入路一期减压重建术治疗胸腰段脊柱骨折脱位的临床疗效。方法 选择2014-07～2015-07该院收治的胸腰段脊柱骨折脱位患者70例，按随机数字表法分为研究组和对照组，各35例，两组均采用一期减压重建术治疗，对照组采用后正中入路，研究组采用椎旁肌间隙入路。比较两组围术期指标、恢复指标及并发症发生情况。结果 研究组围术期指标与恢复指标均优于对照组，差异有统计学意义（P<0.01）；研究组并发症发生率明显低于对照组，差异有统计学意义（P<0.05）。结论 一期减压重建术中采用椎旁肌间隙入路可明显减轻手术创伤，加快术后恢复，减少并发症，改善患者脊柱稳定性，值得推广应用。 |
| 关键词: 椎旁肌间隙入路 一期减压重建术 胸腰段脊柱骨折脱位 |
| DOI：10.3969/j.issn.1674-3806.2017.10.10 |
| 分类号:R 68 |
| 基金项目: |
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| A clinical observation on dislocation decompression and reconstruction for the treatment of thoracolumbar spine fractures by paraspinal approach |
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ZHANG Zhen-yu
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Department of Orthopedics, the People′s Hospital of Puyang City, Henan 457000, China
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| Abstract: |
| ［Abstract］ Objective To observe the curative effect of dislocation decompression and reconstruction on the treatment of thoracolumbar spine fractures by paraspinal muscle approach.Methods 70 patients with dislocation of fracture in our hospital from July 2014 to July 2015 were randomly divided into the study group and the control group, with 35 cases in each group. Both of the two groups were treated with one-stage reconstruction treatment. The control group was operated by the middle approach, and the study group received the surgery by the paravertebral approach. The indexes during the periods of the perioperation and recovery and the occurrence of complications were compared between the two groups.Results The indexes of the perioperation and recovery in the study group improved better than those in the control group(P<0.01). The complication rate of the study group decreased more obviously than that of the control group(P<0.05).Conclusion The use of the adjacent muscle gap approach can significantly reduce the surgical trauma, accelerate the postoperative recovery, reduce the complications, and improve the stability of the spine during the first stage decompression and reconstruction. |
| Key words: Paraspinal approach One-stage reconstruction Dislocation of thoracolumbar spine fractures |
