CAJ | 학술논문

目的：观察Quadrant系统微创治疗胸腰椎骨折的临床疗效。方法将39例胸腰椎骨折患者随机分为2组，治疗组20例采用Quadrant系统进行微创手术治疗，对照组19例采用传统手术方法。比较2组手术各项指标，包括切口长度、术中出血及手术时间；所有病例均随访10～48个月，根据视觉模拟评分（ VAS）方法评价手术前后腰痛程度；应用Prolo问卷评价临床疗效。结果2组手术切口长度、手术时间、术中出血量比较差异均有统计学意义（P＜0．01）。末次随访时治疗组手术疗效优良率89．5％，对照组90．0％，2组比较差异无统计学意义（P＞0．05），2组疗效相近；治疗组术后1周VAS评分低于对照组（P＜0．05）。结论应用Quadrant系统微创手术创伤小，痛苦轻、恢复快、疗效佳患者易于接受。
목적：관찰Quadrant계통미창치료흉요추골절적림상료효。방법장39례흉요추골절환자수궤분위2조，치료조20례채용Quadrant계통진행미창수술치료，대조조19례채용전통수술방법。비교2조수술각항지표，포괄절구장도、술중출혈급수술시간；소유병례균수방10～48개월，근거시각모의평분（ VAS）방법평개수술전후요통정도；응용Prolo문권평개림상료효。결과2조수술절구장도、수술시간、술중출혈량비교차이균유통계학의의（P＜0．01）。말차수방시치료조수술료효우량솔89．5％，대조조90．0％，2조비교차이무통계학의의（P＞0．05），2조료효상근；치료조술후1주VAS평분저우대조조（P＜0．05）。결론응용Quadrant계통미창수술창상소，통고경、회복쾌、료효가환자역우접수。
Objective To investigate the surgical therapeutic effect of thoracolumbar fracture treated by min -imally invasive surgery with Quadrant system .Method Select thirty-nine patients with thoracolumbar fracture .All 39 cases were randomly divided into two groups , 20 cases received operations with Quadrant system in group A , and the others with traditional operation in group B .According to the visual analogy method ( VAS) , Prolo standard , the clinical outcome was evaluated , and compared the index , including the length of incision , the bleeding volume , and the operation time.All cases were followed 10-48 months.Results There was significant difference between two groups on the length of incision, the bleeding volume, the operation time (P<0.01).Excellent rate of surgery in treatment group last follow -up was 89.5%, and 90.0% in control group.There was no significant difference be-tween two groups (P>0.05).VAS score after a week of operation in treatment group was lower than that in control group (P<0.05).Conclusion The therapeutic outcome of the two groups is similar .But the surgery trauma is smal-ler by using Quadrant system , and pain is lighter , recovering faster , the minimally invasive surgery applicating Quad-rant system is a better way for thoracolumbar fracture patients .