摘要
目的探讨前路椎管减压固定融合结合早期高压氧和中医针灸综合康复手段治疗胸腰段骨折伴脊髓损伤的疗效。方法回顾分析89例患者采用椎管减压内固定融合结合术后早期高压氧和针灸综合康复治疗的临床效果,根据术后综合康复方法对患者进行分组。A组27例,术后结合早期高压氧及针灸康复治疗;B组19例,术后结合早期高压氧治疗;C组21例,术后结合早期针灸治疗;D组22例,术后未予高压氧和针灸治疗。结果全部病例随访6～20个月,平均12.5个月,术后X线检查显示脊椎曲度恢复,椎管内无骨性压迫物,植骨块、钛网无移动,无椎体高度丢失,内固定无松动断裂,术后3个月X线片示植骨块或钛网内植骨块均与上下椎体融合。神经功能恢复A组好于其他3组。结论经前路椎管减压植骨内固定治疗胸腰椎骨折能获得术后即刻稳定性,钛网植骨融合效果满意,结合早期高压氧及针灸治疗对神经功能的改善有一定的效果。
Objective To explore the curative effect of anterior decompression and internal fixation combination of early hyperbaric oxygen and Chinese acupuncture for the treatment of thoracolumbar fractures with spinal cord injury. Methods Retrospective analysis the curative effect of anterior decompression and internal fixation combination of early hyperbaric oxygen and Chinese acupuncture for the treatment of thoracolumbar fractures with spinal cord injury. A total of 89 cases were divided into 4 groups according to comprehensive rehabilitation approach post operation. Group A ,27 cases, combinated of early hyperbaric oxygen and Chinese acupuncture; Group B ,19 cases, combinated of early hyperbaric oxygen; Group C ,21 cases, combinated of Chinese acupuncture; Group D ,22 cases didn’t combinated rehabilitation approach. Results All cases were followed up for 6 20 months, an average of 12.5 months. The postoperative roentgenograph showed spinal curvature recovered, without spinal bone compression in spinal canal, without moving of graft and titanium mesh, without loss of vertebral height and without loosen and break of internal fixation. Roentgenograph of postoperative 3 months showed graft or titanium mesh graft fusion with the upper and lower vertebrae. Recovery of nerve function in Group A was better than other 3 groups. Conclusion Anterior decompression and internal fixation combination of early hyperbaric oxygen and Chinese acupuncture for the treatment of thoracolumbar fractures can get immediate stability postoperative. Effect of titanium mesh graft fusion was satisfacting. Effect of early hyperbaric oxygen and acupuncture have a certain effect on improvement of neurological function.
出处
《脊柱外科杂志》
2013年第2期101-103,共3页
Journal of Spinal Surgery
关键词
胸椎
腰椎
脊柱骨折
脊髓损伤
内固定器
中医康复
高压氧
Thoracic vertebrae
Lumbar vertebrae
Spinal fractures
Spinal cord injuries
Internal fixators
Rehabilitation（TCM）
Hyperbaric oxygenation
