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《探討急性脊柱創(chuàng)傷診斷及急性脊柱創(chuàng)傷手術(shù)治療方法》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、探討急性脊柱創(chuàng)傷診斷及急性脊柱創(chuàng)傷手術(shù)治療方法五常市人民醫(yī)院150200摘要：目的研究分析急性脊柱創(chuàng)傷患者的臨床診斷及手術(shù)治療方法。方法此次研宄的對(duì)象是選擇我院收治的92例急性脊柱創(chuàng)傷患者。將其臨床資料進(jìn)行回顧性分析，并隨機(jī)分為對(duì)照組與觀察組。首先均對(duì)兩組患者展開CT掃描、X線以及MRI等臨床檢查，隨后給予對(duì)照組傳統(tǒng)開放型手術(shù)治療，觀察組則接受椎弓根螺釘內(nèi)固定手術(shù)治療。對(duì)兩組患者的診斷結(jié)果及手術(shù)治療效果展開統(tǒng)計(jì)與評(píng)價(jià)。結(jié)果經(jīng)診斷，木研究92例患者均為單椎體損傷。在手術(shù)治療效果方面，觀察組的手術(shù)時(shí)間、術(shù)中出血量、住院時(shí)間以及疼痛評(píng)分均顯著少于對(duì)照組，術(shù)后
2、切口感染率、鎮(zhèn)痛藥應(yīng)用率以及并發(fā)癥發(fā)生率均明顯低于對(duì)照組，數(shù)據(jù)差異具有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論通過(guò)對(duì)急性脊柱創(chuàng)傷患者展開CT掃描、X線以及MRI等臨床檢查，可充分促進(jìn)診斷準(zhǔn)確性的提高。隨后對(duì)患者施行椎弓根螺釘內(nèi)固定手術(shù)治療，可顯著改善其臨床癥狀，療效更為顯著，具有重要的臨床應(yīng)用價(jià)值。關(guān)鍵詞：急性脊柱創(chuàng)傷；診斷；手術(shù)治療Abstract：ObjectiveTostudytheclinicaldiagnosisandsurgicaltreatmentofpatientswithacutespinaltrauma.Methods92caseso
3、facutespinaltraumapatientsadmittedtoourhospitalwereselected.Theclinicaldatawereretrospectivelyanalyzed,andwererandomlydividedintocontrolgroupandobservationgroup.Firstofall,twogroupsofpatientswithCTscanning,X-rayandMRIclinicalexamination,andthengivethecontrolgroupoftraditionalope
4、nsurgery,observationgroupwastreatedwithpediclescrewfixationsurgery.Thestatisticalandevaluationoftheresultsofdiagnosisandsurgicaltreatmentofthetwogroupswereevaluated.Resultsafterdiagnosis,thestudyof92casesofpatientswithsinglevertebralinjury.lnthesurgicaltreatmenteffect,theobserva
5、tiongrouptheoperativetime,bloodloss,hospitalizationtimeandpainscoreweresignificantlylessthanthatofthecontrolgroup,postoperativeincisioninfectionrate,analgesicdrugapplicationrateandcomplicationincidenceweresignificantlylowerthanthoseinthecontrolgroup,thedifferencesinthedatawithst
6、atisticalsignificance(P<0.05).ConclusionsCTscan,X-rayandMRIscaninpatientswithacutespinaltraumacanimprovetheaccuracyofdiagnosis.Thenthepatientswithpediclescrewfixationsurgerytreatment,cansignificantlyimprovetheclinicalsymptoms,theefficacyismoresignificant,hasimportantclinicala
7、pplicationvalue.Keywords：acutespinaltrauma；diagnosis；surgicaltreatment作為臨床一項(xiàng)常見的創(chuàng)傷性疾病，急性脊柱性創(chuàng)傷的多發(fā)部位為胸腰段，倘若未能對(duì)此類患者展開及時(shí)、奮效的治療，就極奮可能導(dǎo)致脊髓損傷等嚴(yán)重并發(fā)癥，進(jìn)而危害到患者的生命安全［1】。經(jīng)調(diào)查研究得知，急性脊柱創(chuàng)傷具有非常高的病殘率與病死率。在此種情況下，為改善患者的臨床癥狀，促進(jìn)其生存質(zhì)量的提高，臨床醫(yī)務(wù)人員的首要任務(wù)便是展開準(zhǔn)確的診斷，以明確患者的實(shí)際傷勢(shì)，損傷的類型、具體部位以及嚴(yán)重程度等，其次便是及吋采取科學(xué)、奮效的治療
8、方法，以確保治療的成功［2］。當(dāng)前，臨床在治療急性脊柱創(chuàng)傷患者吋，主要采取開放型手術(shù)及椎弓根螺
