内固定结合椎体成形术治疗脊柱骨折的临床疗效及对TNF-α、IL-6的影响
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青海大学附属医院脊柱外科

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Curative efficacy ofInternal fixation combined with vertebroplastyin treatment ofSpinal fracturesand its effectsonTNF- and IL-6
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Spine Surgery, Affiliated Hospital of Qinghai University

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    摘要:

    目的:探讨内固定结合椎体成形术治疗脊柱骨折的临床疗效及对肿瘤坏死因子(TNF-α)、白细胞介素6(IL-6)的影响。方法:选择2017年6月至2019年6月在我院接受治疗的100例脊柱骨折患者,采用抽签法分为观察组(n=52)和对照组(n=48)。对照组给予传统内固定治疗,观察组给予内固定结合椎体成形术治疗。比较两组患者的手术情况、TNF-α、IL-6、椎体前缘高度压缩率、椎体后缘高度压缩率、伤椎高度、Cobb角水平变化情况及并发症发生情况。结果:观察组手术时间显著高于对照组,术中出血量、住院时间均显著低于对照组,差异显著(P<0.05);治疗前,两组TNF-α、IL-6水平无明显差异;治疗后,两组TNF-α、IL-6水平均显著降低,且观察组低于对照组,差异显著(P<0.05);治疗前,两组椎体高度压缩率水平无明显差异;治疗后,两组椎体前缘高度压缩率、椎体后缘高度压缩率水平均显著降低,且观察组低于对照组,差异显著(P<0.05);治疗前,两组伤椎高度及Cobb角水平无明显差异;治疗后,两组伤椎高度水平均显著升高,Cobb角均显著降低,且观察组伤椎高度高于对照组,Cobb角低于对照组,差异显著(P<0.05);两组患者治疗期间并发症总发生率分别为1.92%、18.75%,比较差异具有统计学意义(P<0.05)。结论:在脊柱骨折患者中应用内固定结合椎体成形术效果显著,可有效减少患者脊柱损伤,且并发症少。

    Abstract:

    ObjectiveTo studyCurative efficacy ofInternal fixation combined with vertebroplastyin treatment ofSpinal fracturesand its effectsonTumor necrosis factor (TNF-α), interleukin 6 (IL-6).Methods100 patients with spinal fractures who were treated in our hospital from June 2017 to June 2019 were selected and divided into observation group (n=52) and control group (n=48) by lottery. The control group was treated with traditional internal fixation, and the observation group was treated with internal fixation combined with vertebroplasty. The operative status, TNF-, il-6, the high compression rate of the anterior edge of the vertebral body, the high compression rate of the posterior edge of the vertebral body, the injured vertebra height, the change of Cobb Angle level and the occurrence of complications were compared between the two groups.ResultsThe operative time of the observation group was significantly higher than that of the control group, and the intraoperative blood loss and hospitalization time were significantly lower than that of the control group, with significant differences (P<0.05). Before treatment, there was no significant difference in TNF- and il-6 levels between the two groups. After treatment, the levels of TNF- and il-6 in both groups were significantly reduced, and the difference was significantly lower in the observation group than in the control group (P<0.05). Before treatment, there was no significant difference between the two groups in the level of vertebral compression. After treatment, the high compression rate of the anterior edge of the vertebral body and the high compression rate of the posterior edge of the vertebral body in the two groups decreased significantly, and the difference was significantly lower in the observation group than in the control group (P<0.05). Before treatment, there was no significant difference in the level of vertebral height and Cobb Angle between the two groups. After treatment, the level of injured vertebral height was significantly increased in both groups, and the Cobb Angle was significantly increased in both groups. Moreover, the injured vertebral height in the observation group was higher than that in the control group, and the Cobb Angle was lower than that in the control group, with significant differences (P<0.05). The total incidence of complications in the two groups was 1.92% and 18.75%, respectively, with statistically significant differences (P<0.05).conclusionThe application of internal fixation combined with vertebroplasty in patients with spinal fractures has a significant effect, which can effectively reduce spinal injury in patients with fewer complications.

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  • 收稿日期:2020-06-01
  • 最后修改日期:2020-08-17
  • 录用日期:2020-08-20
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