本文選題：上胸椎 + 內固定�。� 參考：《廣西醫(yī)科大學》2013年碩士論文

【摘要】：目的：在山羊模型上觀察自行設計的上胸椎前路鈦板內固定系統(tǒng)固定融合的效果。 方法：16只成年試驗波爾山羊,隨機分成4組,即自行研制的上胸椎前路鋼板固定組(A組),前路未塑形Orion鋼板組(B組),前路塑形Orion鋼板組(C組),正常上胸椎標本組(D組),對A、B、C組行T3椎體切+骼骨植骨術+內固定植入。D組行T3椎體切+骼骨植骨術。于術后3個月行影像學和組織學檢查,觀察內固定和植骨融合效果及相關并發(fā)癥。 結果：A、B、C組山羊均存活,D組山羊因麻醉意外死亡1例。未出現(xiàn)與內固定相關的并發(fā)癥。術后3個月影像學融合效果：A組優(yōu)于B,C,D組(P=0.011,0.008,0.018),B,C組優(yōu)于D組(P=0.009,0.021)。B組與C組之間無明顯差別(P=0.206)組織融合效果：A組優(yōu)于B,C,D組(P=0.000,0.000,0.038),B,C組優(yōu)于D組(P=0.0100.012),B組與C組之間無明顯差別(P=0.91)。 結論：上胸椎前路鈦板內固定系統(tǒng)在山羊胸椎行融合內固定安全、可靠,融合效果好。
[Abstract]:Objective: to observe the effect of the self-designed anterior thoracic titanium plate fixation system on goat model. Methods Sixteen adult Boer goats were randomly divided into 4 groups. That is, group A, group A, group B, group B, group C, group C, group C, group C, group C, the anterior thoracic vertebrae, group A, group A the anterior thoracic vertebra plate fixation, group A, group A, the bone graft of T 3 vertebrae in group A, the other group, group C, group C, the bone graft of T 3 vertebrotomy and iliac bone graft, and the group A, B, B, C, T 3 vertebrae and iliac bone graft. Group D was treated with T 3 vertebra resection and iliac bone grafting. Imaging and histological examination were performed 3 months after operation to observe the effect of internal fixation and bone graft fusion and related complications. Results one case of group D died from anaesthesia accident. There were no complications associated with internal fixation. 3 months after operation, the effect of imaging fusion in group A was better than that in group B (P 0.011 0.008 0. 018) and group C was superior to group D (P 0.009) 0.021. There was no significant difference between group B and group C (P < 0. 206). The effect of tissue fusion in group A was better than that in group B (P 0. 0000.000). Group C was better than group D (P 0. 010. 12) there was no significant difference between group B and group C. There was no significant difference between group A and group C. Conclusion: the anterior titanium plate fixation system is safe, reliable and effective in the fixation of goat thoracic vertebrae.
【學位授予單位】：廣西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R-332;R687.3

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