CAJ | 학술논문

目的：比较经椎旁肌间隙入路和后正中入路手术治疗胸腰椎骨折的临床疗效。方法：选取笔者所在医院收治的40例无神经症状、无需椎管减压的胸腰椎骨折患者，均手术治疗，采用随机数字表法将其分为A、B两组，各20例。A组采用椎旁肌间隙入路，B组采用后正中入路，比较两组的手术切口长度、手术时间、术中出血量、术后引流量、术前术后椎体前缘高度、术前术后VAS评分、术后Cobb角纠正率。结果：两组患者在术后1周VAS评分、术前术后椎体前缘高度比值和术后Cobb角纠正率比较，差异无统计学意义(P>0.05)。A组在手术切口长度、手术时间、术中出血量、术后引流量和术后3、6个月VAS评分方面优于B组，差异有统计学意义(P<0.05)。结论：经椎旁肌间隙入路治疗胸腰椎骨折具有创伤小、出血少、术后腰背痛缓解快等优势，符合微创理念，值得推广。
목적：비교경추방기간극입로화후정중입로수술치료흉요추골절적림상료효。방법：선취필자소재의원수치적40례무신경증상、무수추관감압적흉요추골절환자，균수술치료，채용수궤수자표법장기분위A、B량조，각20례。A조채용추방기간극입로，B조채용후정중입로，비교량조적수술절구장도、수술시간、술중출혈량、술후인류량、술전술후추체전연고도、술전술후VAS평분、술후Cobb각규정솔。결과：량조환자재술후1주VAS평분、술전술후추체전연고도비치화술후Cobb각규정솔비교，차이무통계학의의(P>0.05)。A조재수술절구장도、수술시간、술중출혈량、술후인류량화술후3、6개월VAS평분방면우우B조，차이유통계학의의(P<0.05)。결론：경추방기간극입로치료흉요추골절구유창상소、출혈소、술후요배통완해쾌등우세，부합미창이념，치득추엄。
Objective:To compare the clinical outcomes of paraspinal approach with those of posterior median approach for thoracolumbar fractures with posterior operation.Method:From the author’s hospital treated 40 cases without neurological symptoms,patients with thoracolumbar fractures without spinal canal decompression,surgical treatment,by using the method to random number table were divided into A,B two groups,20 cases each.Group A with vertebral side clearance into the road,group B after the middle of the road,comparing two groups of incision length,operative time,intraoperative blood loss,postoperative, preoperative postoperative drain fanterior edge postoperative VAS score height,preoperative and postoperative Cobb Angle correct rate.Result:Two groups of patients in postoperative 1 week VAS score,preoperative and postoperative fanterior flange height ratio of postoperative Cobb Angle correction rate,there was no statistically significant difference(P>0.05).In group A incision length,operation time,intraoperative blood loss,postoperative flow and postoperative 3,6 months VAS score were better than group B,the difference was statistically significant(P<0.05).Conclusion:Treatment of thoracolumbar fracture through paraspinal approach has an advantage of minimal invase,less bleeding and quick relief of back pain postoperatively,its accord with idea of minimal invasive,the way of surgery is worth to popularize.