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[1]龍亨國(guó),黃偉,劉玖行,等.牽引輔助下充氣復(fù)位器復(fù)位藥物墊枕 治療新鮮胸腰椎骨折的臨床研究[J].中醫(yī)正骨,2011,23(08):20-22.
 LONG Heng-guo*,HUANG Wei,LIU Jiu-xing,et al.Pneumatic reductor and reset drug pillow assisted with traction in the treatment of fresh thoracolumbar fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2011,23(08):20-22.
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牽引輔助下充氣復(fù)位器復(fù)位藥物墊枕 治療新鮮胸腰椎骨折的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第23卷
期數(shù):
2011年08期
頁(yè)碼:
20-22
欄目:
臨床研究
出版日期:
2011-08-30

文章信息/Info

Title:
Pneumatic reductor and reset drug pillow assisted with traction in the treatment of fresh thoracolumbar fractures
作者:
龍亨國(guó)黃偉劉玖行詹旭洪文躍虞杰李哲明周成洪肖曦
浙江省舟山市中醫(yī)骨傷聯(lián)合醫(yī)院,浙江 舟山 316000
Author(s):
LONG Heng-guo*HUANG WeiLIU Jiu-xinget al.*
United hospital of TCM Orthopaedic of Zhoushan City,Zhoushan 316000,Zhejiang,China
關(guān)鍵詞:
脊柱骨折 胸椎 腰椎 牽引術(shù) 充氣復(fù)位 墊枕 治療臨床研究性
Keywords:
Spinal fractures Thoracic vertebrae Lumbar vertebrae Traction Pneumatic reduction Pillow Therapiesinvestigational
摘要:
目的:觀察在牽引輔助下應(yīng)用充氣復(fù)位器復(fù)位配合藥物墊枕的方法治療新鮮胸腰椎骨折的臨床療效。方法:牽引輔助下充氣復(fù)位器復(fù)位藥物墊枕治療新鮮胸腰椎骨折168例,按照胸腰椎楔型骨折的Denis分類,Ⅰ型9例,Ⅱ85例型,Ⅲ型23例,Ⅳ型16例,按照胸腰椎爆裂性骨折的Denis分類, Ⅰ型10例,Ⅱ型18例,Ⅲ型7例。于復(fù)位前、復(fù)位后、1個(gè)月、3個(gè)月、6個(gè)月、12個(gè)月時(shí)攝X線片,行椎體高度、Cobb角的影像學(xué)測(cè)量和計(jì)算,于復(fù)位前、復(fù)位后、1個(gè)月、3個(gè)月拍傷椎CT行椎管占位的測(cè)量和計(jì)算,并于傷后12個(gè)月以Beaujon-Lassale評(píng)分。結(jié)果:本組病例均獲隨訪,隨訪時(shí)間12個(gè)月到24個(gè)月,復(fù)位后骨折均愈合,復(fù)位后骨折椎體前緣的壓縮率、Cobb角和椎管占位較復(fù)位前明顯改善,于6周、3個(gè)月、6個(gè)月、12個(gè)月時(shí)攝X線片測(cè)量示行椎體高度、Cobb角較首次復(fù)位時(shí)無(wú)明顯變化,椎管占位在1個(gè)月、3個(gè)月時(shí)和首次復(fù)位時(shí)無(wú)明顯變化,復(fù)位后以Beaujon-Lassale評(píng)分,20分83例,17~19分71例,15~17分11例,15分以下3例,效果良好。結(jié)論:應(yīng)用牽引輔助下充氣復(fù)位器復(fù)位藥物墊枕治療新鮮胸腰椎骨折的楔型骨折和部分爆裂性骨折復(fù)位效果滿意,恢復(fù)良好,是有效的治療方法。
Abstract:
Objective:To observe the curative effect of pneumatic reductor and reset drug pillow assisted with traction in the treatment of fresh thoracolumbar fractures.Methods:One hundred and sixty-eight patients with fresh thoracolumbar fractures were treated with pneumatic reductor and reset drug pillow assisted with traction.Among of them,according to Denis classification standard of wedge fractures,the fractures were 9 in type Ⅰ,85 in type Ⅱ,23 in type Ⅲ,16 in type Ⅳ. According to Denis classification standard of burst fractures,there were 10 patients in type Ⅰ,18 in type Ⅱ,7 in type Ⅲ.X-ray was executed to measure the vertebral height and Cobb angle prereduction,postreduction and 1,3,6,12 months after reduction.The injured vertebra were examined with CT to observe the magnitude of the spinal canal encroachment prereduction,postreduction and 1,3 months after reduction.The patients were evaluated with Beaujon-Lassale score 12 months after injury.Results:All the patients were followed up for 12-24 months and got bone union. Significant improvement of post-operative vertebral height,Cobb angle and spinal canal encroachment were achieved.No differences of vertebral height and Cobb angle were observed between 6 weeks,3,6,12 months and postoperation.No differences of spinal canal encroachment were observed between 1,3 months and postoperation.According to Beaujon-Lassale score standard,83 cases scored 20 points,71 cases scored 17 to 19 points,11 cases scored 15 to 17 points,3 cases'scores were below 15 points.Conclusion:The therapy of pneumatic reductor and reset drug pillow assisted with traction is effective on fresh thoracolumbar fractures.

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備注/Memo

備注/Memo:
2010-12-21收稿 2011-15-26修回
更新日期/Last Update: 2011-08-30