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编号:11533893
下腰椎骨折临床治疗分析(附36例临床报告)
http://www.100md.com 2007年11月1日 闫鼎波
     【中图分类号】R683.2

    【文献标识码】B

    【文章编号】1672-5085(2007)11-0050-02

    【摘要】目的:探讨下腰椎骨折治疗方法。方法:通过与胸腰段骨折比较,表明下腰椎骨折具有如下特点:发生率较低,为10.4%(36/346);患者年龄偏轻,平均27岁;致伤暴力大,并发损伤多;不稳定骨折多,伴马尾神经损伤率高。认为下腰椎骨折应以手术治疗为主。结果:效果良好。结论:应以手术治疗为主,特别对伴有马尾神经损伤者,宜及早切开复位、减压和内固定。手术以后路入路为佳,并应根据骨折的程度和类型选择内固定方法。

    【关键词】腰椎;骨折;下腰椎;临床

    The next lumbar vertebra bone fracture clinical treatment analysis(attaches 36 examples clinical reports)Yan Dingbo

    【Abstract】Objective:Under discussion lumbar vertebra bone fracture method of treatment.Method: Through compares with the chest waist section bone fracture,under indicated the lumbar vertebra bone fracture has the following characteristic: The formation rate is lower,is 10.4%(36/346); The patient age is light,average 27 years old; Wounds the violence to be big,concurrently damages many; Unstable bone fracture many,accompanies the horse’s tail neurotrosis rate to be high.Under thought the lumbar vertebra bone fracture should to the surgery treat primarily.Result: The effect is good.Conclusion: Should to the surgery treat primarily,specially has the horse’s tail neurotrosis to the partner,suitably early cuts open the replacement,the reduced pressure and in is fixed.The surgery enters Lu asjia take the rear guard,and should act according to the bone fracture in the degree and the type choice the fixed method. ......