| 汤欣,李正维,王守丰,唐开,曲巍,杨群,张卫国,姜长明,孙康.胸腰段脊柱骨折前路内固定方法的疗效比较[J].脊柱外科杂志,2003,1(2):78-80. |
胸腰段脊柱骨折前路内固定方法的疗效比较  点此下载全文 (Fulltext) |
| 汤欣 李正维 王守丰 唐开 曲巍 杨群 张卫国 姜长明 孙康 |
| 大连医科大学附属第一医院骨科, 中国大连 116011;大连医科大学附属第一医院骨科, 中国大连 116011;大连医科大学附属第一医院骨科, 中国大连 116011;大连医科大学附属第一医院骨科, 中国大连 116011;大连医科大学附属第一医院骨科, 中国大连 116011;大连医科大学附属第一医院骨科, 中国大连 116011;大连医科大学附属第一医院骨科, 中国大连 116011;大连医科大学附属第一医院骨科, 中国大连 116011;青岛医科大学附属硫磺顶医院骨科, 中国青岛 266000 |
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| 摘要点击次数: 567 |
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| 摘要： |
| 目的 探讨不同脊柱前路内固定系统治疗胸腰段骨折的疗效。方法 对应用不同前路内固定系统（Armstrong，Kaneda，Ventro-fix，Macs-TL）的77例患者的手术时间、术中出血量，以及手术前后的脊柱后凸角、椎管受累率、神经功能恢复情况进行比较分析，结果进行统计学处理。结果 各种前路内固定系统在手术时间、脊柱后凸角的矫正、神经功能恢复等方面无显著性差异，但在术中出血量方面，Macs-TL组明显优于其他各组（P<0.05）。各组中脊柱后凸角矫正、神经功能的恢复术前、术后有显著性差异（P<0.05）。结论 前路内固定系统中，Macs-TL系统具有出血少、操作简便、损伤小等优点，且可以在胸腔镜下行脊柱前路内固定，是一种新的有效的脊柱前路内固定系统。 |
| 关键词：疗效比较 脊柱内固定系统 胸腰椎骨折 |
| Efficacy comparisons of anterior spinal instrumentations for treatment of thoracolumbar fracture Fulltext |
| TANG Xin LI Zhengwei WANG Shoufeng TANG Kai QU Wei YANG Qun ZHANG Weiguo JIANG Changming SUN Kang |
| Department of Orthopaedic Surgery, First Affiliated Hospital of DaLian Medical University, Dalian, China 116011;Department of Orthopaedic Surgery, First Affiliated Hospital of DaLian Medical University, Dalian, China 116011;Department of Orthopaedic Surgery, First Affiliated Hospital of DaLian Medical University, Dalian, China 116011;Department of Orthopaedic Surgery, First Affiliated Hospital of DaLian Medical University, Dalian, China 116011;Department of Orthopaedic Surgery, First Affiliated Hospital of DaLian Medical University, Dalian, China 116011;Department of Orthopaedic Surgery, First Affiliated Hospital of DaLian Medical University, Dalian, China 116011;Department of Orthopaedic Surgery, First Affiliated Hospital of DaLian Medical University, Dalian, China 116011;Department of Orthopaedic Surgery, First Affiliated Hospital of DaLian Medical University, Dalian, China 116011;Department of Orthopaedic Surgery, Hospital of Qingdao Medical University, Qingdao, China 266000 |
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| Abstract: |
| Objective To compare the efficacy among various spinal instrumentations through the anterior approach in the treatment of thoracolumbar fractures.Methods 77 cases of thoracolumbar fractures were treated with the anterior spinal internal fixation system including Armstrong, Kaneda, Ventro-fix and Macs-TL. A statistic study has been made to evaluate the results by comparing the cosume time of operation, the volume of bleeding, the angle of kyphosis, the recovery of neurological deficits.Result Among various instrumentations there were no significant statistical difference in consume time of operation, correction of kyphosis angle, spinal canal involvement and recovery of neurological deficits.However, the volume of bleeding of the Macs-TL group was significantly less than that of other groups and significant recovery of the neurological deficits was obtained postoperatively (P<0.05).Conclusion Among the anterior spinal instrumentations for thoracolumbar fracture, the advantage of Macs-TL system over others is less bleeding, easy operating and less damaging, moreover, it can be performed under the thoracoscopy. |
| Keywords:efficacy comparison spinal instrumentation thoracolumbar fractures |
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