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1、·臨床研究·2013年11月第3卷第22期骨水泥椎體成形對胸腰椎壓縮性骨折后脊柱穩(wěn)定性的影響李智明甘肅省高臺縣人民醫(yī)院，甘肅高臺734300[摘要】目的研究骨水泥椎體成形對胸腰椎壓縮性骨折后脊柱穩(wěn)定性的影響。方法選擇我院2011年3月～2013年6月收治的76例胸腰椎壓縮性骨折患者作為研究對象，遵照知情同意原則并按照治療方案分為A、B兩組各38例，A組采用AF系統(tǒng)固定治療，B組采用骨水泥椎體成形術(shù)治療，比較兩組手術(shù)方案對脊柱穩(wěn)定性的影響。結(jié)果兩組患者均手術(shù)成功，術(shù)前兩組脊柱畸形角度差異無統(tǒng)計(jì)學(xué)意義(
2、P>0．05)，術(shù)后x線片顯示B組的脊柱畸形角度為(6．7±1．2)。、明顯小于A組的(9．6±1．5)。，組間差異有統(tǒng)計(jì)學(xué)意義(P<0．05)；兩組患者術(shù)前神經(jīng)功能Franke1分值比較差異并無統(tǒng)計(jì)學(xué)意義(P>0．05)，術(shù)后A、B兩組的Franke1分值均明顯改善，分別為(3．8±1．3)、(3．1±1．5)分，以B組改善更為明顯，組問差異均有統(tǒng)計(jì)學(xué)意義(P<0．05o結(jié)論骨水泥椎體成形治療胸腰椎壓縮性骨折臨床效果滿意，有利于維持脊柱穩(wěn)定性，是臨床首選的手術(shù)方案之一?！娟P(guān)鍵詞】胸腰椎骨折；壓縮性
3、骨折；骨水泥椎體成形術(shù)[中圖分類號】R683．2[文獻(xiàn)標(biāo)識碼】B[文章編號]2095—0616(2013)22-172-02EffectofbonecementVertebr0plastyonspinalstabilityafterthoracolumbarvertebralcompressionfracturesLIZhimingGaotaiPeople’SHospitalofGansuProvince，Gaotai734300，China[Abstract]ObjectiveTostudythe
4、efectofbonecementvertebroplastyonspinalstabilityafterthoracolumbarvertebralcompressionfractures．Methods76caseswiththoraeolumbarvertebralcompressionfracturesadmittedintoourhospitalfromMarch2011toJune2013wereselectedastheresearchobjects，whichweredividedi
5、ntothegroupAandthegroupBinaccordancewiththeprincipleofinformedconsentandthetreatmentprogram，eachgrouphad38cases，andthepatientsinthegroupAwereusedAFsystemfixationtreatment，whilethepatientsinthegroupBwereusedbonecementvertebroplastytreatment．Theefectoftw
6、ooperationschemesonthespinalstabilitywerecomparedandanalyzed．ResultsThepatientsoftwogroupshadsuccessfuloperation，therewasnotstatisticalsignificantdiferenceinthespinaldeformityanglebeforetheoperationbetweenthetwogroups(P>0．o5)．thepostoperativeX-rayshowe
7、dthatthespinaldeformityangleofthegroupBwas(6．7±1．2)。，whichwassignificantlylessthanthatofthegroupA【(9．6-4-1．5)。]，therewassignificantdifferencebetweenthetwogroups(P<0．05)；TherewasnotstatisticalsignificantdifferenceinthepreoperativenervefunctionFrankelsco
8、rebetweenthetwogronps(P>0．05)．thepostoperativeFrankelscoreofAandBtwogroupsweresignificantlyimproved，respectively(3．8±1．3)score，(3．1±1．5)score，buttheimprovementofthegroupBwasmoreobvious．therewassignificantdifferencebetweenthetwogroups<0．
