经椎弓根植骨椎体成形结合椎弓根钉固定治疗胸腰椎骨折远期疗效分析.doc

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1、经椎弓根植骨椎体成形结合椎弓根钉固定治疗胸腰椎骨折远期疗效分析　　【摘要】目的分析�椎弓根植骨椎体成形结合椎弓根钉固定治疗胸腰椎骨折远期疗效。方法50例胸腰椎骨折患者，均采用经椎弓根植骨椎体成形结合椎弓根钉固定治疗。比较患者治疗前后的前臂高度压缩率、后壁高度压缩率、Cobb角度、疼痛情况。观察手术治疗效果。结果50例患者治疗后，25例患者治疗效果为优，占50%，18例患者治疗效果为良，占36%，5例患者治疗效果为可，占10%，2例患者治疗效果为差，占4%，治疗优良率为86%。患者治疗前后的前臂高度压缩率、后壁高度压缩率、Cobb角度比较差

2、异均具有统计学意义。患者治疗后视觉模拟评分法评分为分，低于治疗前的分，差异具有统计学意义。结论胸腰椎骨折患者经椎弓根植骨椎体成形结合椎弓根钉固定治疗后远期临床效果显著，可有效缓解患者的疼痛，将其相关指标进行改善，临床应用价值存在。　　【关键词】经椎弓根植骨椎体成形；椎弓根钉固定；胸腰椎骨折；远期疗效　　DOI：10.14163/j.cnki.11-5547/r.2017.16.012　　Analysisoflong-termcurativeeffectbytranspedicularbonegraftingvertebroplastyco

3、mbinedwithpediclescrewfixationinthetreatmentofthoracolumbarvertebralfractureWEIXi-jiang，LUWen-zhong，LUJi-li，etal.DepartmentofSpinalDiseasesurgery，GuangxiBaiseCityPeople’sHospital，Baise533000，China　　【Abstract】ObjectiveToanalyzelong-termcurativeeffectbytranspedicularbonegra

4、ftingvertebroplastycombinedwithpediclescrewfixationinthetreatmentofthoracolumbarvertebralfracture.MethodsAtotalof50patientswiththoracolumbarvertebralfractureallreceivedtranspedicularbonegraftingvertebroplastycombinedwithpediclescrewfixationfortreatment.Comparisonwasmadeon

5、compressionratioofforearmheight，compressionratioofpariesposterior，Cobbangle，andpainconditionbeforeandaftertreatmentbetweenthetwogroups.Observationwasmadeoncurativeeffectsbysurgeryinthetwogroups.ResultsAftertreatmentforthe50patients，therewere25caseswithexcellentcurativeeff

6、ect，accountingfor50%，18caseswithgoodcurativeeffect，accountingfor36%，5caseswithmoderatecurativeeffect，accountingfor10%，and2caseswithpoorcurativeeffect，accountingfor4%.Theirgoodrateoftreatmentwas86%.Thedifferencesofcompressionratioofforearmheight，compressionratioofpariespos

7、terior，andCobbanglebeforeandaftertreatmentallhadstatisticalsignificance.Thepatientshadlowervisualanaloguescalescoreaftertreatmentaspointsthanpointsbeforetreatment，andtheirdifferencehadstatisticalsignificance.ConclusionCombinationoftranspedicularbonegraftingvertebroplastya

8、ndpediclescrewfixationshowsexcellentlong-termclinicaleffect.Thismethodcaneffectivelyrelievepaini