| 何波涌,曹盛俊,方松清,廖瑛,胡存根.多节段脊柱骨折33例临床分析.[J].中南医学科学杂志.,2003,(3):286-287,297. |
| 多节段脊柱骨折33例临床分析 |
| Clinical Analysis of Thirty-three Cases With Multiple-level Spinal Fractures |
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| DOI： |
| 中文关键词: 多节段脊柱骨折 临床分析 误诊 手术指征 原因 |
| 英文关键词:spine,multiple-level fracture,causes of delayed diagnosis,operation indication |
| 基金项目: |
| 何波涌 曹盛俊 方松清 廖瑛 胡存根 |
南华大学第一附属医院 湖南衡阳421001
(何波涌，曹盛俊，方松清，廖瑛)
，南华大学第一附属医院 湖南衡阳421001(胡存根)
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| 中文摘要: |
| 目的 探讨多节段脊柱骨折的受伤机理、延误诊断的原因及治疗方法。方法对33例多节段(相邻与非相邻)脊柱骨折诊断治疗的体会及疗效观察进行回顾总结。结果33例患者延迟诊断8例，手术治疗23例，其中胸腰段骨折、腰椎骨折18例采用多组AF或加长RF后路椎弓根固定获得满意效果，Frank分级改善1～3级。结论 早期诊断多节段脊柱骨折，积极分节段处理骨折失稳，恢复脊柱的稳定性，可使患者避免医源性损害，获得较满意的效果。 |
| 英文摘要: |
| Objective To explore the mechanisms of injury,causes of delayed diagnosis and methods of surgical treatment in patients with multiple-level spinal fractures. Methods Experiences of diagnosis and treatment and effects were retrospected and summarized in 33 patients with multiple-level spinal fractures. Results Among 33 patients,there were 8 cases with diagnosis delayed and 23 cases were treatmented by operations, of which 18 cases were undergone operations of AF or RF internal fixation.The results were satisfacted with improvement of 1 to 3 grades of the Frank. Conclusion Early diagnosis , active treatment of fracture instability by levels and recovery of stability were essential to avoid medical injuries and obtain satisfactory effects in patients with multiple-level spinal fractures . |
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