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前路和后路手术治疗胸腰椎爆裂骨折的对比研究 被引量：8

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摘要 目的比较前路和后路手术治疗胸腰椎爆裂骨折的疗效。方法选择100例胸腰椎爆裂骨折患者,其中经前路手术44例(前路组),经后路手术56例(后路组)。采用Frankel分级评价两组术后神经功能恢复情况,并经影像学检查评价术后脊柱后凸畸形角度(Cobb角)恢复情况。结果与前路组比较,后路组手术时间短,术中出血量小;2组Frankel分级均改善至少1个等级,神经功能改善明显,术后2组并发症发生率无统计学差异;2组术后后凸Cobb角均较术前改善,且后路组较前路组改善明显;随访结束时前路组Cobb角矫正度平均丢失较后路组少。结论前路和后路手术治疗胸腰椎爆裂骨折均能获得相似的术后神经功能恢复,临床上应结合患者的损伤情况及术者对入路的熟练程度合理选择手术方法。
作者 焦建宝
机构地区 河北大学附属医院
出处 《山东医药》 CAS 北大核心 2011年第20期93-94,共2页 Shandong Medical Journal
关键词 胸腰椎爆裂骨折 前路手术 后路手术 Frankel分级 COBB角
分类号 R683.2 [医药卫生—骨科学]
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参考文献3

二级参考文献22

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共引文献207

同被引文献44

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引证文献8

二级引证文献24

山东医药
2011年 第20期

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