非手术方法治疗胸腰椎压缩性骨折的疗效观察
作者：张磊 吴建平 汤义兵 陈孟根 贺亮 王长青
单位：韶山医院，湖南 湘潭 411300
关键词：脊柱损伤；正骨疗法；骨折固定术；外
中国骨伤000910摘 要：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。 Non-surgical treatment of compression fracture of thoracolumbar vertebra
ZHANG Lei ,WU Jian-ping ,TANG Yi-bin
(Shaoshan Hospital Hunan Shaoshan, 411300)
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
参考文献：
[1]顾云伍，肖冠军.中医“攀索叠砖”复位机理的动物实验观察.中华外科杂志，1978，16(3)：177.
[2]毕大卫，尚天裕，高瑞亭.垫枕对胸腰椎压缩性骨折治疗作用的生物力学研究.中国中医骨伤科杂志，1991，7(3)：10.
[3]顾志华，高瑞亭.骨伤生物力学基础.天津：天津大学出版社，1990.26.
[4]顾云伍，董福慧，尚天裕.腰椎压缩骨折愈合过程的组织学及抗压力动物实验.中华外科杂志，1983，21(10)：594.
[5]顾云伍，肖冠军，韦威侃，等，垫枕练功法治疗胸腰椎屈曲型骨折疗效观察.中华骨科杂志，1981，1(4)：237.
收稿日期：1998-07-15
修稿日期：1999-01-24, http://www.100md.com
单位：韶山医院，湖南 湘潭 411300
关键词：脊柱损伤；正骨疗法；骨折固定术；外
中国骨伤000910摘 要：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。 Non-surgical treatment of compression fracture of thoracolumbar vertebra
ZHANG Lei ,WU Jian-ping ,TANG Yi-bin
(Shaoshan Hospital Hunan Shaoshan, 411300)
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
参考文献：
[1]顾云伍，肖冠军.中医“攀索叠砖”复位机理的动物实验观察.中华外科杂志，1978，16(3)：177.
[2]毕大卫，尚天裕，高瑞亭.垫枕对胸腰椎压缩性骨折治疗作用的生物力学研究.中国中医骨伤科杂志，1991，7(3)：10.
[3]顾志华，高瑞亭.骨伤生物力学基础.天津：天津大学出版社，1990.26.
[4]顾云伍，董福慧，尚天裕.腰椎压缩骨折愈合过程的组织学及抗压力动物实验.中华外科杂志，1983，21(10)：594.
[5]顾云伍，肖冠军，韦威侃，等，垫枕练功法治疗胸腰椎屈曲型骨折疗效观察.中华骨科杂志，1981，1(4)：237.
收稿日期：1998-07-15
修稿日期：1999-01-24, http://www.100md.com