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

【摘要】：一、研究目的通過對比早期下床和晚下床的胸腰椎骨折后路內固定術后患者受傷后、術后、術后3個月、術后6個月、術后1年的胸腰椎側位X線片,探討早期活動對胸腰椎骨折后路內固定術后患者的椎體高度、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固定的胸腰椎骨折患者63例,按是否早期下床活動分為兩組,觀察組：術后2周內佩戴腰圍下床活動。對照組：術后嚴格臥床4周以上才佩戴腰圍下床活動。測量并對比受傷后、術后、術后3個月、術后6個月、術后1年(未取出內固定物)胸腰椎側位X線片的傷椎椎體前緣高度、后凸Cobb's角等影像學指標。三、研究結果兩組患者術后均達到功能復位要求,且隨著時間推移椎體高度、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。術后3個月,矯正角度、椎體高度丟失的幅度最大,術后6個月、術后1年矯正角度、椎體高度的丟失幅度逐漸減小。術后至術后3個月、術后3個月至6個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)計學意義(P0.05),術后6個月至術后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)計學意義(P0.05)。四、研究結論早期活動可加重胸腰椎骨折后路內固定術后患者的椎體高度、矯正角度丟失,降低手術療效。
[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.
【學位授予單位】：廣西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R687.3

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