| 按压法治疗胸腰段压缩性骨折的临床研究 |
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| 作者 | Author | 单位 | Unit | E-Mail |
| 何升华 |
HE Sheng-hua |
芜湖市中医医院骨科,安徽芜湖241001 |
Department of Orthopaedics,Tradiitonal Chinese Medical Hospital of Wuhu,Wuhu 241001,Anhui,China |
Heshenghua99@163.com |
| 彭俊宇 |
PENG Jun-yu |
芜湖市中医医院骨科,安徽芜湖241001 |
Department of Orthopaedics,Tradiitonal Chinese Medical Hospital of Wuhu,Wuhu 241001,Anhui,China |
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| 赵祥 |
ZHAO Xiang |
芜湖市中医医院骨科,安徽芜湖241001 |
Department of Orthopaedics,Tradiitonal Chinese Medical Hospital of Wuhu,Wuhu 241001,Anhui,China |
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| 期刊信息：《中国骨伤》2007年20卷，第11期，第752-753页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:寻求治疗胸腰段骨折简单有效的方法。
方法:胸腰椎骨折患者57例,男29例,女28例;年龄15～81岁,平均48.3岁。T113例,T1214例,L124例,L216例。用按压法手法复位,对比治疗前后受伤椎体高度和Cobb角的变化。
结果:57例患者1年后随访,按胸腰椎压缩性骨折疗效标准:优16例,良30例,可10例,差1例,优良率达80.7%。患者治疗前前柱前缘平均高度(19.67±2.46)mm,治疗后(24.78±2.23)mm(P<0.01);治疗前中柱前缘平均高度为(24.01±2.32)mm,治疗后为(26.10±1.76)mm(P<0.01);Cobb角治疗前后分别为(14.95°±1.69°)和(7.89°±2.50°)(P<0.01)。患者脊柱畸形及疼痛等症状明显好转。
结论:按压法手法复位治疗胸腰段单纯性骨折,简单易行,疗效确切。 |
| [关键词]:胸腰段骨折 压缩性骨折 按压法 复位术 |
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| Treatment of thoracolumbar fracture with pressure-massage |
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Abstract:
Objective:To explore an effective and non-operative method for the treatment of thoracolumbar fracture.
Methods:Fifty-seven patients(29 males and 28 females) of thoracolumbar fracture agd from 15 to 81 years old(mean 48.3 years) were treated in our hospital.There were 3 cases of compression fracture of vertabral body in T11,14 cases in T12,24 in L1,16 in L2.The fractures were treated with pressure-massage manipulative reduction.The height of vertebral body and Cobb angle were analyzed before and after treatment.
Results:All patients were followed up with time of 1 year.According to standard of evaluation:16 cases obtained excellent result,30 good,10 fair and 1 poor,the rate of excellent and good was 80.7%.The mean height of anterior border of the vertebral body before and after treatment were(19.67±2.46) mm and(24.78±2.23) mm(P<0.01) respectively.The mean height of anterior border in the central column were(24.01±2.32) mm and(26.10±1.76) mm(P<0.01) respectively.The mean Cobb angle were(14.95°±1.69°) and(7.89°±2.50°)(P<0.01),respectively.The spinal deformity and pain obviously relieved.
Conclusion:The pressure-massage manipulative reduction has the advantage of simplicity in treating thoracolumbar fracture,can obtain satisfactory effect. |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 何升华,彭俊宇,赵祥.按压法治疗胸腰段压缩性骨折的临床研究[J].中国骨伤,2007,20(11):752~753 |
| 英文格式: | HE Sheng-hua,PENG Jun-yu,ZHAO Xiang.Treatment of thoracolumbar fracture with pressure-massage[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(11):752~753 |
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