| 短节段椎弓根钉棒固定治疗无神经损伤胸腰椎骨折对长期生活质量的影响 |
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投稿时间：2014-05-14
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| 作者 | Author | 单位 | Address | E-Mail |
| 王放 |
WANG Fang |
西安交通大学第二附属医院骨科, 陕西 西安 |
Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
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| 贺西京 |
HE Xi-jing |
西安交通大学第二附属医院骨科, 陕西 西安 |
Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China |
xijing_h@vip.tom.com |
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| 期刊信息：《中国骨伤》2015年，第28卷，第1期，第12-16页 |
| DOI：10.3969/j.issn.1003-0034.2015.01.004 |
| 基金项目: |
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中文摘要:
目的: 评估椎弓根钉棒固定手术对无神经症状胸腰椎骨折患者的长期生活质量影响.
方法: 自2007年1月至2010年10月,采用短节段椎弓根钉棒固定治疗无神经损伤胸腰椎骨折患者55例.其中男35例,女20例;年龄7～75岁,平均(44.0±10.5)岁.患者临床症状以胸腰部疼痛为主,无神经损伤症状,影像学主要表现为受伤椎体楔形变或椎体变扁,高度丢失.采用ODI、EQ-5D及SF-36这3种反应健康相关生活质量量表评定生活质量.
结果: 55例患者手术顺利,术后切口均Ⅰ期愈合,胸腰部活动功能完全或基本恢复,术后影像学示骨折均愈合,未发现螺钉松动、断钉、断棒现象.55例患者均完成随访问卷,平均随访时间为4.2年(3～6年).ODI得分25.8±18.7,高于普通人群(P<0.05);计算所得EQ-5D指数得分0.70,低于正常中国人群相应得分(P<0.05);与正常中国人群相比,患者在SF-36问卷中8项的得分都明显降低(P<0.05).
结论: 与正常中国人群相比,手术治疗无神经症状胸腰椎骨折患者的健康相关生活质量偏低,应引起重视. |
| 【关键词】胸椎 腰腰 骨折 骨折固定术,内 生活质量 |
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| Long term effects on health related quality of life after short segment pedicle fixation of thoracolumbar fractures without neurologic injury |
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ABSTRACT
Objective: To evaluate the effects on health related quality of life after short segment pedicle fixation of thoracolumbar fractures without neurologic injury.
Methods: A total of 55 patients suffered from thoracolumbar fractures without neurological deficit from January 2007 to October 2010 were included in this retrospective study. Of the 55 patients,35 were male and 20 were female. The mean age was (44.0±10.5) years old (ranged,7 to 75). Preoperatively,the main clinical symptoms in patients were thoracolumbar pain without neurologic injury and the imaging findings mainly showed that the injured vertebra became wedging or flat with the loss of height. Three questionnaires (ODI,EQ-5D and SF-36) were applied to follow up in this study.
Results: All operations were successful and incisions got primary healing. The function of thoracolumbar spine fully or basiclly restored and postoperative imagings showed fractures healed without loose screws,broken screws or broken rods. The completion rates of all the queasionnaires were 100% while the mean follow up period was 4.2 years(ranged,3 to 6). The ODI scores were 25.8±18.7,which were statistically higher than those of the general population in our country(P<0.05). the EQ-5D index scores were 0.70,which were statistically lower than those of the normal Chinese population(P<0.05). Compared with the normal scores in our country,the scores of 8 items in the SF-36 questionnaire were obviously lower with significant difference(P<0.05).
Conclusion: Compared with the normal Chinese population,it should be paid more attention to that the health related quality of life in patients after short segment pedicle fixation of thoracolumbar fractures without neurologic injury because of lower scores. |
| KEY WORDS Thoracic vertebrae Lumbar vertebrae Fractures Fracture fixation,internal Quality of life |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王放,贺西京.短节段椎弓根钉棒固定治疗无神经损伤胸腰椎骨折对长期生活质量的影响[J].中国骨伤,2015,28(1):12~16 |
| 英文格式: | WANG Fang,HE Xi-jing.Long term effects on health related quality of life after short segment pedicle fixation of thoracolumbar fractures without neurologic injury[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(1):12~16 |
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