The Cinical Experience Of Professor Tang Zhenjiang Treatment Of Thoracic And Lumbar Vertebrae Simple Compression Fracture

Objective:The teacher Tang Zhenjiang Treatment of Thoracic and Lumbar Vertebrae Compression Fracture of the simple clinical cases collected, the comprehensive analysis, this paper summarizes the treatment of thoraco lumbar fractures tutor compression of the clinical experience, the teacher in the treatment of thoraco lumbar fractures of the clinical experience compression from perceptual knowledge to ascend to the rational knowledge. Aiming at improving simple compression fractures of thoracic and lumbar vertebrae the clinical curative effect of the offer some basis.Methods:Through to organize the thoraco lumbar fractures of the compression literatures in10years nearly, collecting Professor Tang Zhenjiang treatment of thoracic and lumbar vertebrae simple clinical data compression fractures, and summarizes Professor Tang Zhenjiang treatment of fractures of thoracic and lumbar vertebrae simple compression clinical experience. Choose the YN hospital of TCM in July2005-November2010menstrual mentor after treatment of thoracic and lumbar vertebrae simple compression fracture patients, according to the standards and exclusion standard into requirements, random collect mentor treatment of fractures of thoracic and lumbar vertebrae compression60cases, which closed reduction30cases in treatment group, with surgical operation closed reduction fixation30cases in treatment group. On the clinical hospital after total cost, clinical curative effect observation, follow-up, tracking. Analysis of pure to tutor thoracolumbar compression fracture patients of traditional Chinese medicine therapy and characteristics, operation methods, guiding function exercise time and way to exercise choice.Results:1Major clinical experience:(1) the diagnosis thinking features:distinguishes the combination of disease and syndrome differentiation, both the whole and the parts, combining static, both TCM and Wester Medicine:(2) basis for therapeutic etiology and pathogenesis. the cause of disease differentiation phases, the method of drug use, the initial attack to the Lord; What the middle attack, renewal fill reflect reinforced thin; The treatment to fill the late to give priority to.(3) both TCM and Wester Medicine, according to patients with disease characteristics of surgical treatment for patients to surgery, patients can postoperative activities early.2. clinical studies show that:Professor Tang Zhenjiang comprehensive treatment of thoracic and lumbar vertebrae compression fracture scheme pure science, the curative effect is stable. Can obviously improve the simple compression fractures of thoracic and lumbar vertebrae, living quality of life for the patients.Conclusion:(1) closed reduction treatment and closed reduction fixation system with surgical operation for the treatment of thoracic and lumbar vertebrae simple compression fractures, both treatments curative effect is stable. Conservative treatment to patients suffering closed reduction relatively small, do not increase surgical trauma, need not be a second surgery removed internal fixation, but patients stay in bed for a long time, have produce the risk of complications, have compressed vertebral body again mabey. With surgical operation closed reduction fixation system treat patients with vertebral compression again after angles at the possibility of reduced significantly, and shorten the length of time, but a second surgery to dismantle internal fixation.(2) closed reduction fixation with surgical operation for the treatment of thoracic and lumbar vertebrae simple compression fractures, preoperative recovered partially closed reduction of the spine normal sequence, help surgery accurate positioning, help shorten the operation time; Patients can take functional exercise early.(3) closed reduction treatment in hospital and highest charge, were significantly lower than average cost closed reduction fixation with surgical operation treatment group.