基层医院开展下颈椎手术的临床研究

目的研究下颈椎骨折脱位的手术方法及疗效,为基层医院提供合适的工作模式。方法回顾性分析我院下颈椎骨折脱位手术治疗的患者56例,按照具体病情分为前路手术组、后路手术组和前后联合手术组,评价术后患者脊髓神经功能及椎体情况,观察相关并发症发生情况。结果所有患者均顺利手术出院,随访12个月,所有患者颈椎骨折脱位后复位都较满意,无显著并发症发生;三组患者术前术后的脊髓功能评分差异均显著均有统计学意义,三组间无明显差异。结论下颈椎骨折脱位患者,入院行颅骨牵引复位术,复位失败,则根据具体情况施行前路、后路或者前后路联合复位内固定术,尽量达到复位的稳定性,恢复脊髓神经功能,利于患者的康复。

Under the Grass-roots Hospitals in Cervical Spine Surgery Clinical Research

Objective To study the surgical methods and therapeutic effect of cervical spine fracture dislocation,as a grass-roots hospital to provide appropriate working mode.Methods Retrospective analysis of 56 patients with surgical treatment of cervical spine fracture dislocation,according to the specific condition is divided into anterior surgery group,the posterior joint before and after the surgery group and surgery group,the evaluation of patients with postoperative function of spinal cord and vertebral body,observe the related complications.Results All patients were successfully discharged from the hospital,surgery were followed up for 12 months,all patients with cervical spine fracture dislocation after reset satisfaction,no significant complications;three groups of spinal cord function after surgery for patients with preoperative scores were significant difference had statistical significance,no obvious difference between the three groups.Conclusion The patients with cervical spine fracture dislocation,admission line traction reduction,reduction and failure,depending on the specific circumstances of anterior,posterior or anterior and joint reduction and internal fixation,and try to achieve the stability of the reset,restore spinal cord function,conducive to rehabilitation of patients.