毛克亚;肖嵩华;陆宁;陶笙;王威;朱守荣;张国强;王岩;

• 1:解放军总医院骨科

摘要(Abstract)：

[目的]探讨TLICS评分(thoracolumbar injury classification and severity)在地震伤所致脊柱骨折应用。[方法]汶川地震中解放军总医院汶川抗震救灾医疗队在成都军区总医院和成都空军医院共收治95例脊柱骨折患者,其中男49例,女46例,记录骨折患者一般资料、受伤机制、骨折特点,并根据患者TLICS评分采用不同的治疗方法。[结果]95例脊柱骨折患者共有107个椎体受累,其中76例患者被倒塌房屋砸伤,19例患者跳楼所致坠落伤。85个椎体(79.5%)骨折位于胸腰段(T11~L1),36例患者TLICS评分大于4分,15例患者评分等于4分,44例患者评分小于4分。40例患者采用切开手术治疗,8例患者采用椎体成形术,47例患者采用保守治疗。[结论]地震所致脊柱骨折可以采用TLICS评分,据此采用不同的治疗方法。

关键词(KeyWords)： 汶川;地震;脊柱;骨折;TLICS评分

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金(编号:50772132);; 全军“十一五”科研基金(项目编号:2005jd0003)

作者(Author): 毛克亚;肖嵩华;陆宁;陶笙;王威;朱守荣;张国强;王岩;

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DOI:

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