| 骨科牵引三折床膝垫练功治疗胸腰椎骨折 |
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投稿时间：2010-01-09
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| 作者 | Author | 单位 | Address | E-Mail |
| 游开发 |
YOU Kai-fa |
上杭县医院骨科,福建 上杭 364200 |
Department of Orthopaedics,the Hospital of Shanghang County,Shanghang 364200,Fujian,China |
shyygkykf@126.com |
| 赖洪喜 |
LAI Hong-xi |
上杭县医院骨科,福建 上杭 364200 |
Department of Orthopaedics,the Hospital of Shanghang County,Shanghang 364200,Fujian,China |
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| 邹丰林 |
ZOU Feng-lin |
上杭县医院骨科,福建 上杭 364200 |
Department of Orthopaedics,the Hospital of Shanghang County,Shanghang 364200,Fujian,China |
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| 邓添发 |
DENG Tian-fa |
上杭县医院骨科,福建 上杭 364200 |
Department of Orthopaedics,the Hospital of Shanghang County,Shanghang 364200,Fujian,China |
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| 李玉华 |
LI Yu-hua |
上杭县医院骨科,福建 上杭 364200 |
Department of Orthopaedics,the Hospital of Shanghang County,Shanghang 364200,Fujian,China |
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| 温添华 |
WEN Tian-hua |
上杭县医院骨科,福建 上杭 364200 |
Department of Orthopaedics,the Hospital of Shanghang County,Shanghang 364200,Fujian,China |
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| 黄崇清 |
HUANG Chong-qing |
上杭县医院骨科,福建 上杭 364200 |
Department of Orthopaedics,the Hospital of Shanghang County,Shanghang 364200,Fujian,China |
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| 期刊信息：《中国骨伤》2010年，第23卷，第4期，第302-304页 |
| DOI：10.3969/j.issn.1003-0034.2010.04.021 |
| 基金项目: |
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中文摘要:
目的：探讨骨科牵引三折床膝垫练功治疗胸腰椎骨折的临床疗效。
方法：1996年6月至2006年6月使用骨科牵引床(三折床)的膝垫代替垫枕进行复位练功治疗胸腰椎骨折209例，资料完整的有163例，其中男98例，女65例；年龄17～74岁，平均41.5岁。伤后就诊时间30 min～7 d.骨折部位：T11 8例，T12 24例，L1 73例，L2 33例，L3 8例，L4 3例，T12+L1 14例。椎体前缘压缩程度：1个完全压缩，23个压缩>4/5,67个压缩>2/3,40个压缩>1/2,46个压缩1/3.
结果：163例中，8例合并后脱位下肢不全瘫在整复过程中神经功能无恢复或神经功能部分恢复后停止，改手术治疗。其余155例获得随访，随访时间2～12年，平均3年4个月。169个受伤压缩椎体前缘平均高度由整复前的1.55 cm膨胀至整复后的2.70 cm,受伤椎体平均膨胀1.15 cm,伤椎前缘高度由整复前的50.5%(1.55 cm/3.07 cm)恢复至整复后的89.4%(2.70 cm/3.02 cm).受伤椎体后凸角由平均13.25°恢复至平均-1.6°，23例合并脱位基本复位。
结论：骨科牵引三折床膝垫练功治疗胸腰椎骨折能获得满意的疗效，治疗方法简单，治疗后3、7、10 d要根据X线片适当调整复位高度。 |
| 【关键词】胸椎 腰椎 骨折 骨牵引复位法 |
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| Treatment of thoracolumbar fractures by rehabilitation exercise using knee pads on the orthopedic traction bed |
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ABSTRACT
Objective: To discuss the clinical effectiveness in treating thoracolumbar fractures adopting the rehabilitation exercise utilizing knee pads on the orthopedic traction bed.
Methods: From June 1996 to June 2006,we studied the clinical effectiveness of thoracolumbar fractures utilizing knee pads on the orthopedic traction bed for rehabilitation exercise. The cases surveyed total 209,163 of which had full data. There were 98 males and 65 females with the age from 17 to 74 years(mean,14.5 years). Consulting time after injury from 30 min to 7 days. Fracture site in T11 had 8 cases,in T12 24 cases,in L1 73 cases ,in L2 33cases,in L3 8 cases,in L4 3 cases,in T12 and L1 14 cases. Compression degree of vertebral anterior border:full compression had 1 case,more than 4/5 had 23,more than 2/3 had 67,more than 1/2 had 40,in 1/3 had 46.
Results: Among them,8 cases with legs paresis no recovery in nerval function or stopping recovery changed methods,and underwent surgical treatment. Others 155 cases were followed up from 2 to 12 years with an average of 3 years and 4 months. The average height of vertebral anterior borders of the 169 injured compressed had increased from 1.55 cm before treatment to 2.70 cm after treatment with an average of 1.15 cm. The height of the injured vertebral anterior borders had recovered from 50.5%(1.55/3.07) before treatment to 89.4%(2.70/3.02) after treatment. Kyphosis angle of the injured vertebral bodies had recovered from 13.25° to -1.6° in average. Twenty-three cases associated with dislocation basic reduction.
Conclusion: Rehabilitation exercise using knee pads on the orthopedic traction bed can obtain satisfactory clinical effect in treating thoracolumbar fractures,the method is easy. At 3,7,10 days after treatment,the height of bed should be adjusted according X-ray. |
| KEY WORDS Thoracic vertebrae Lumbar vertebrae Fractures Skeletal tracting reposition |
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| 中文格式: | 游开发,赖洪喜,邹丰林,邓添发,李玉华,温添华,黄崇清.骨科牵引三折床膝垫练功治疗胸腰椎骨折[J].中国骨伤,2010,23(4):302~304 |
| 英文格式: | YOU Kai-fa,LAI Hong-xi,ZOU Feng-lin,DENG Tian-fa,LI Yu-hua,WEN Tian-hua,HUANG Chong-qing.Treatment of thoracolumbar fractures by rehabilitation exercise using knee pads on the orthopedic traction bed[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(4):302~304 |
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