CAJ | 학술논문

目的：探讨经多裂肌间隙入路行胸腰椎骨折后路手术的临床疗效。方法将2010年3月至2013年3月九江市中医院和深圳市南山区人民医院收治的60例无需减压的胸腰椎骨折患者随机分为两组，其中经多裂肌间隙入路30例（观察组）、后正中传统入路30例（对照组），比较两组手术时间，术中出血量，术后引流量，住院时间，术后Cobb角矫正率、椎体高度矫正率、疼痛视觉模拟量表（VAS）评分等指标。结果两组术后Cobb角矫正率、椎体高度矫正率比较，差异无统计学意义（P＞0.05）；观察组手术时间、术中出血量、术后引流量、住院时间、术后VAS评分明显优于对照组（P＜0.05）。结论与后正中传统入路相比，经多裂肌间隙入路治疗胸腰椎骨折具有手术和住院时间短、手术创伤轻微、术后腰痛症状改善明显等优点。
목적：탐토경다렬기간극입로행흉요추골절후로수술적림상료효。방법장2010년3월지2013년3월구강시중의원화심수시남산구인민의원수치적60례무수감압적흉요추골절환자수궤분위량조，기중경다렬기간극입로30례（관찰조）、후정중전통입로30례（대조조），비교량조수술시간，술중출혈량，술후인류량，주원시간，술후Cobb각교정솔、추체고도교정솔、동통시각모의량표（VAS）평분등지표。결과량조술후Cobb각교정솔、추체고도교정솔비교，차이무통계학의의（P＞0.05）；관찰조수술시간、술중출혈량、술후인류량、주원시간、술후VAS평분명현우우대조조（P＜0.05）。결론여후정중전통입로상비，경다렬기간극입로치료흉요추골절구유수술화주원시간단、수술창상경미、술후요통증상개선명현등우점。
Objective To investigate the clinical outcomes of thoracolumbar fractures treated by posterior approach through multifidus. Methods Treated in Jiujiang Hospital of Traditional Chinese Medicine and Shenzhen Nanshan District People's Hospital from March 2010 to March 2013, 60 patients suffered from thoracolumbar fractures and not required surgical decompression were divided into 2 groups randomly, 30 patients in control group underwent traditional posterior surgical approach and other 30 patients in study group received posterior approach through multifidus. Clinical indicators such as operation time, intraoperative estimate blood loss, postoperative drainage, length of hospital stay, postoperative Cobb angle correction rate, vertebral body height correction rate and pain visual analogue scale (VAS) score were compared between two groups. Results The differences of postoperative Cobb angle correction rate, vertebral body height correction rate between two groups had no statistical significance (P >0.05). In terms of operation time, intraoperative estimate blood loss, postoperative drainage, length of hospital stay, postoperative VAS score in treatment group they were better than those in control group (P <0.05). Conclusion Compared with traditional posterior approach, multifidus approach for thoracolumbar fractures provides better clinical effects because it showed shorten operation time and hospital stay length, reduce surgical injury and accelerate recovery of low back pain.