發(fā)布時(shí)間：2018-02-01 15:48

  本文關(guān)鍵詞： 胸腰椎骨折 早期活動(dòng) 后凸Cobb’s角 傷椎椎體前緣高度　出處：《廣西醫(yī)科大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：一、研究目的通過對(duì)比早期下床和晚下床的胸腰椎骨折后路內(nèi)固定術(shù)后患者受傷后、術(shù)后、術(shù)后3個(gè)月、術(shù)后6個(gè)月、術(shù)后1年的胸腰椎側(cè)位X線片,探討早期活動(dòng)對(duì)胸腰椎骨折后路內(nèi)固定術(shù)后患者的椎體高度、矯正角度丟失的影響。二、研究方法通過回顧2011年1月-2013年6月我院收治并行后路內(nèi)固定的胸腰椎骨折患者63例,按是否早期下床活動(dòng)分為兩組,觀察組：術(shù)后2周內(nèi)佩戴腰圍下床活動(dòng)。對(duì)照組：術(shù)后嚴(yán)格臥床4周以上才佩戴腰圍下床活動(dòng)。測量并對(duì)比受傷后、術(shù)后、術(shù)后3個(gè)月、術(shù)后6個(gè)月、術(shù)后1年(未取出內(nèi)固定物)胸腰椎側(cè)位X線片的傷椎椎體前緣高度、后凸Cobb's角等影像學(xué)指標(biāo)。三、研究結(jié)果兩組患者術(shù)后均達(dá)到功能復(fù)位要求,且隨著時(shí)間推移椎體高度、矯正角度都出現(xiàn)了不同程度的丟失,觀察組丟失更為明顯。術(shù)后3個(gè)月,矯正角度、椎體高度丟失的幅度最大,術(shù)后6個(gè)月、術(shù)后1年矯正角度、椎體高度的丟失幅度逐漸減小。術(shù)后至術(shù)后3個(gè)月、術(shù)后3個(gè)月至6個(gè)月的傷椎椎體前緣高度、后凸Cobb's角丟失的幅度兩組差異有統(tǒng)計(jì)學(xué)意義(P0.05),術(shù)后6個(gè)月至術(shù)后1年的傷椎椎體前緣高度、后凸Cobb's角丟失的幅度兩組差異無統(tǒng)計(jì)學(xué)意義(P0.05)。四、研究結(jié)論早期活動(dòng)可加重胸腰椎骨折后路內(nèi)固定術(shù)后患者的椎體高度、矯正角度丟失,降低手術(shù)療效。
[Abstract]:Objective: to compare the radiographs of thoracolumbar vertebrae lateral position after injury, 3 months, 6 months and 1 year after thoracolumbar vertebrae fracture in the early stage and late out of bed. To investigate the effect of early movement on the loss of vertebral height and correction angle in patients with thoracolumbar fracture after posterior internal fixation. Methods from January 2011 to June 2013, 63 patients with thoracolumbar vertebrae fracture treated with posterior internal fixation in our hospital were reviewed and divided into two groups according to whether they got out of bed early or not. Observe group: wear waist circumference to get out of bed within 2 weeks after operation. Control group: strictly stay in bed more than 4 weeks before wearing waist circumference to get out of bed. Measure and compare after injury, 3 months after operation, 6 months after operation. 1 year after operation (without internal fixation) the anterior height of the injured vertebral body and the Cobb's angle of the kyphosis of the injured vertebrae on the lateral radiographs of the thoracolumbar vertebrae. 3. The results showed that the functional reduction requirements were achieved in both groups after operation. And with the passage of time, the vertebral height and correction angle were all lost to different degrees, especially in the observation group. 3 months after operation, the loss of vertebral height was the largest, 6 months after operation. 1 year after the correction of the angle, the loss of vertebral height gradually decreased. From postoperative to 3 months, 3 months to 6 months after the injury of the anterior height of the vertebral body. The loss of Cobb's angle of kyphosis was significantly different between the two groups (P 0.05). The height of the anterior edge of injured vertebrae from 6 months to 1 year after operation was significantly different between the two groups. There was no significant difference in the loss of kyphosis Cobb's angle between the two groups (P 0.05). 4. Conclusion early movement can aggravate the vertebral height of patients after posterior internal fixation of thoracolumbar fractures. The loss of correction angle reduces the curative effect of operation.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R687.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前5條

1 戴力揚(yáng),蔣雷生,沈雷,周青,張家紅,姚維芳,王偉,倪斌斌,沈云;多發(fā)傷患者胸腰椎骨折的手術(shù)時(shí)機(jī)[J];中華創(chuàng)傷骨科雜志;2004年01期

2 麥偉;張維成;顏志堅(jiān);;胸腰椎骨折合并脊髓損傷的手術(shù)時(shí)機(jī)探討[J];中國醫(yī)藥;2006年01期

3 譚軍,趙必增,賈連順,李家順;椎體成形術(shù)在新鮮胸腰段骨折中的選擇性應(yīng)用[J];中國矯形外科雜志;2003年14期

4 李磊,郭開今,辛兵,周冰,郭含軍;后路內(nèi)固定治療胸腰椎骨折術(shù)后矯正角度丟失隨訪分析[J];中國矯形外科雜志;2005年08期

5 鐘聯(lián)鈞;;經(jīng)皮椎體后凸成形術(shù)(PKP)在骨質(zhì)疏松性椎體壓縮骨折中的應(yīng)用[J];中國現(xiàn)代醫(yī)生;2015年02期

，

本文編號(hào)：1482231