| 非手术方法治疗胸腰椎压缩性骨折的疗效观察 |
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Received:July 15, 1998 Revised:January 24, 1999
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张磊 |
ZHANG Lei |
韶山医院,湖南湘潭411300 |
Shaoshan Hospital Hunan Shaoshan,411300 |
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| 吴建平 |
WU Jian ping |
韶山医院,湖南湘潭411300 |
Shaoshan Hospital Hunan Shaoshan,411300 |
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| 汤义兵 |
TANG Yi bin |
韶山医院,湖南湘潭411300 |
Shaoshan Hospital Hunan Shaoshan,411300 |
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| 陈孟根 |
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韶山医院,湖南湘潭411300 |
Shaoshan Hospital Hunan Shaoshan,411300 |
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| 贺亮 |
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韶山医院,湖南湘潭411300 |
Shaoshan Hospital Hunan Shaoshan,411300 |
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| 王长青 |
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韶山医院,湖南湘潭411300 |
Shaoshan Hospital Hunan Shaoshan,411300 |
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| 杨仕德 |
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韶山医院,湖南湘潭411300 |
Shaoshan Hospital Hunan Shaoshan,411300 |
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| 期刊信息：《中国骨伤》2000年13卷，第9期，第535-536页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨非手术方法治疗胸腰椎压缩性骨折的临床效果。
方法:71例胸腰椎压缩性骨折患者,分为石膏外固定法、垫枕练功法、弹性支架外固定法3组治疗。均测量治疗前、后X线片上的椎体前高度,并进行比较分析。
结果:随访56例,时间1～5年。经3种非手术方法治疗后,压缩椎体的椎前高度明显恢复(P<0.01),但难以恢复至正常高度。弹性外固定治疗法疗效明显优于石膏外固定(P<0.05).
结论:过伸体位复位法能明显恢复压缩胸腰椎体的解剖结构。弹性支架外固定法是一种理想的保守疗法。 |
| [关键词]:脊柱损伤 正骨疗法 骨折固定术 外 |
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| Non surgical treatment of compression fracture of thoracolumbar vertebra |
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Abstract:
Objective:To study non surgical methods for the treatment of compression fracture of thoracolumbar vertebra.
Methods:71 cases of compression fracture of thoracolumbar vertebra were divided into three groups:plaster exopexy group,pillow elevation and extension exercises group and elastic external fixation brace.The radiographic films of pre and post operation were taken.The anterior heights of the vertebra bodies of all the cases were measured on the radiographic films.
Results: 56 cases were followed up from 1 to 5 years.After treatment with the three methods,the anterior heights of the compressed vertebral bodies recovered significantly (P<0.01),but it was difficult to recover to normal standard.The clinical results of elastic external fixation brace were more excellent than that treated with plaster exopexy (P<0.05).
Conclusion:Hyperextendible postural reduction can make compressed vertebra recover to anatomic structure obviously.The elastic external fixation brace is one of the ideal conservative treatment methods. |
| KEYWORDS:Spinal injuries Bone setting Fracture fixation external |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张磊,吴建平,汤义兵,陈孟根,贺亮,王长青,杨仕德.非手术方法治疗胸腰椎压缩性骨折的疗效观察[J].中国骨伤,2000,13(9):535~536 |
| 英文格式: | ZHANG Lei,WU Jian ping,TANG Yi bin.Non surgical treatment of compression fracture of thoracolumbar vertebra[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(9):535~536 |
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