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目的:通过解剖观察人体胸腰椎的神经形态并对前路手术径路进行改进。方法:利用16具成人尸体的胸腰椎进行解剖观察,并对2015年1月至2015年6月78例胸腰椎损伤患者进行手术治疗,分为改良组与非改良组,非改良组为常规前路手术,改良组为改良前路手术,对两组的治疗资料进行对比。结果 :改良组术后半年骨融合率100%,非改良组76.92%,差异明显,具有统计学意义(P<0.05)。结论 :通过对人体进行胸腰椎的解剖观察,有效指导了临床前路手术的改良,极大提高患者的治疗效果,具有非常高的推广应用价值。
OBJECTIVE: To observe the nerve morphology of human thoracolumbar vertebrae by anatomy and to improve the anterior approach. Methods: Thoracic and lumbar vertebrae of 16 adult cadavers were used for anatomic observation. Totally 78 patients with thoracolumbar injuries from January 2015 to June 2015 were enrolled in this study. The patients were divided into two groups: modified group and non-modified group. Road surgery, modified group to improve anterior surgery, the two groups of treatment data were compared. Results: The bifurcation rate in the improved group was 100% at 6 months and 76.92% in the non-improved group, with significant difference (P <0.05). Conclusion: The thoracolumbar anatomical observation of the human body can effectively guide the improvement of the anterior precancerous surgery and greatly improve the therapeutic effect of the patient, which has a very high value of popularization and application.