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目的分析脊柱后方韧带复合体的完整性在胸腰椎骨折中的中西医治疗的选择判断作用。方法对脊柱后方韧带复合体完整的行中医保守治疗的患者,分为甲组;对胸腰椎骨折合并韧带复合体损伤的行后路椎弓根螺钉固定治疗的患者,分为乙组。治疗后均随访1~2年,从患者的自觉症状、椎体的高度丢失、劳作情况等方面进行论证分析和得出结论。结果基层医院在收治胸腰椎骨折患者时,是选择中医保守治疗,还是选择西医手术治疗多一个评判依据。结论后方韧带复合体完整的可选择中医保守治疗,后方韧带复合体不完整的应选择手术治疗。
Objective To analyze the integrity of spinal posterior ligament complex in the diagnosis of thoracolumbar fractures in the choice of Chinese and Western medicine to determine the role. Methods Patients with complete posterior ligament complex with traditional Chinese medicine treatment were divided into group A. Patients with thoracolumbar fractures combined with ligament complex injury treated with posterior pedicle screw fixation were divided into two groups. After treatment, all cases were followed up for 1 to 2 years, from the patient’s symptoms, vertebral height loss, working conditions and other aspects of the argument analysis and draw conclusions. Results Primary hospital in the treatment of patients with thoracolumbar fractures, conservative treatment is the choice of traditional Chinese medicine, or choose Western surgery more than a judge. Conclusions The posterior ligament complex is a complete alternative to conservative treatment of traditional Chinese medicine. The posterior ligament complex should not be treated surgically.