健康研究
健康研究
건강연구
HEALTH RESEARCH
2014年
3期
277-279
,共3页
骨折%胸椎%腰椎%手术入路
骨摺%胸椎%腰椎%手術入路
골절%흉추%요추%수술입로
fracture%thoracic spine%lumbar vertebrae%surgical approach
目的：探讨小切口椎旁肌间隙入路、短节段椎弓根螺钉固定治疗胸腰段骨折的临床疗效。方法选择2012年1月-2013年3月期间本院诊治的80例胸腰段骨折患者为研究对象，根据手术方法不同分为A组（38例）及B组（42例），两组分别行传统入路或小切口椎旁肌间隙入路、短节段椎弓根螺钉固定治疗。比较两组临床疗效及手术效果的差别。结果 B组手术出血量、手术时间及术后VAS评分均显著优于A组（P＜0．05）；随访7～27月，A组末次随访伤椎前缘压缩比、伤椎矢状面Cobb角及椎管占位率分别为91．93±3．65％、4．37±1．62°和6．87±0．63，B组分别为91．78±3．58％、4．40±1．65°和6．90±0．69％，差别无统计学意义（均P＞0．05）；所有患者均获得骨性愈合，未出现螺钉断裂及骨折复位丢失。结论小切口椎旁肌间隙入路、短节段椎弓根螺钉固定治疗胸腰段骨折临床疗效确切，对机体损伤小，有利于术后恢复。
目的：探討小切口椎徬肌間隙入路、短節段椎弓根螺釘固定治療胸腰段骨摺的臨床療效。方法選擇2012年1月-2013年3月期間本院診治的80例胸腰段骨摺患者為研究對象，根據手術方法不同分為A組（38例）及B組（42例），兩組分彆行傳統入路或小切口椎徬肌間隙入路、短節段椎弓根螺釘固定治療。比較兩組臨床療效及手術效果的差彆。結果 B組手術齣血量、手術時間及術後VAS評分均顯著優于A組（P＜0．05）；隨訪7～27月，A組末次隨訪傷椎前緣壓縮比、傷椎矢狀麵Cobb角及椎管佔位率分彆為91．93±3．65％、4．37±1．62°和6．87±0．63，B組分彆為91．78±3．58％、4．40±1．65°和6．90±0．69％，差彆無統計學意義（均P＞0．05）；所有患者均穫得骨性愈閤，未齣現螺釘斷裂及骨摺複位丟失。結論小切口椎徬肌間隙入路、短節段椎弓根螺釘固定治療胸腰段骨摺臨床療效確切，對機體損傷小，有利于術後恢複。
목적：탐토소절구추방기간극입로、단절단추궁근라정고정치료흉요단골절적림상료효。방법선택2012년1월-2013년3월기간본원진치적80례흉요단골절환자위연구대상，근거수술방법불동분위A조（38례）급B조（42례），량조분별행전통입로혹소절구추방기간극입로、단절단추궁근라정고정치료。비교량조림상료효급수술효과적차별。결과 B조수술출혈량、수술시간급술후VAS평분균현저우우A조（P＜0．05）；수방7～27월，A조말차수방상추전연압축비、상추시상면Cobb각급추관점위솔분별위91．93±3．65％、4．37±1．62°화6．87±0．63，B조분별위91．78±3．58％、4．40±1．65°화6．90±0．69％，차별무통계학의의（균P＞0．05）；소유환자균획득골성유합，미출현라정단렬급골절복위주실。결론소절구추방기간극입로、단절단추궁근라정고정치료흉요단골절림상료효학절，대궤체손상소，유리우술후회복。
Objective To understand the clinical effects of short-segment pedicle screw fixation in the treatment of thoracolumbar fractures via less invasive paraspinal intermuscular approach .Method 80 patients with thoracolumbar fractures admitted to the hospital from January 2012 to March 2013 were taken as subjects of study .38 of them constituted the control group , while the other 42 were treated as the experimental group .The control group were treated with traditional approach, while the experimental group with the less invasive paraspinal intermuscular approach combined with short -segment pedicle screw fixation .Both the clinical effect and operation effects on the two groups were compared .Findings Intraoperative blood loss , operation time and VAS scores after operation observed of the experimental group were superior to those of the control group A (P<0.05).The follow-up period for all the cases was in the range of 7 to 27 months.At The final follow-up, the fractured vertebra height compression ratio , the Cobb's angle on sagittal plane and spinal canal occupational ratio in the experimental group were 91.93 ±3.65%, 4.37 ±1.62°and 6.87 ±0.63 in the control group, and 91.78 ±3.58%, 4.40 ±1.65°and 6.90 ±0.69% in the experimental group (P>0.05); Bone union was achieved in both groups without breakage of screw and second loss of reduction .Conclusion Short-segment pedicle screw fixation in the treatment of thoracolumbar fractures via less invasive paraspinal intermuscular approach have obvious curative effects , less injure and significantly contribute to recovery .
