临床医学工程
臨床醫學工程
림상의학공정
CLINICAL MEDICAL ENGINEERING
2014年
10期
1264-1266
,共3页
临床研究%胸腰椎骨折%后正中入路%肌间隙入路
臨床研究%胸腰椎骨摺%後正中入路%肌間隙入路
림상연구%흉요추골절%후정중입로%기간극입로
Clinical research%Thoracolumbar fracture%Posterior midline approach%Muscle gap approach
目的：对比研究肌间隙入路和后正中入路治疗胸腰椎骨折的疗效。方法选取我院2011年1月至2014年1月无需椎管减压、无神经症状的急性胸腰椎骨折患者180例，按治疗方式的不同分为治疗组和对照组各90例。治疗组采用肌间隙入路方式疗法，对照组进行传统后正中入路方式疗法，比较两组的术后Cobb角纠正情况、手术前后VAS评分、手术前后椎体前5高度、术后引流量、术中出血量、手术时间、手术切口长度等临床指标情况。结果治疗组的Cobb角纠正率(%)、术后引流量(mL)、术中出血量(mL)、手术时间(min)、切口长度(cm)、患者椎体前5高度(%)、 VAS评分情况等各项临床指标显著优于对照组，差异具有统计学意义(P<0.05)。结论无需椎管减压、无神经症状的急性胸腰椎骨折患者应用肌间隙入路疗法，可有效促进病情的康复，术中出血少，高度微创，值得临床推广。
目的：對比研究肌間隙入路和後正中入路治療胸腰椎骨摺的療效。方法選取我院2011年1月至2014年1月無需椎管減壓、無神經癥狀的急性胸腰椎骨摺患者180例，按治療方式的不同分為治療組和對照組各90例。治療組採用肌間隙入路方式療法，對照組進行傳統後正中入路方式療法，比較兩組的術後Cobb角糾正情況、手術前後VAS評分、手術前後椎體前5高度、術後引流量、術中齣血量、手術時間、手術切口長度等臨床指標情況。結果治療組的Cobb角糾正率(%)、術後引流量(mL)、術中齣血量(mL)、手術時間(min)、切口長度(cm)、患者椎體前5高度(%)、 VAS評分情況等各項臨床指標顯著優于對照組，差異具有統計學意義(P<0.05)。結論無需椎管減壓、無神經癥狀的急性胸腰椎骨摺患者應用肌間隙入路療法，可有效促進病情的康複，術中齣血少，高度微創，值得臨床推廣。
목적：대비연구기간극입로화후정중입로치료흉요추골절적료효。방법선취아원2011년1월지2014년1월무수추관감압、무신경증상적급성흉요추골절환자180례，안치료방식적불동분위치료조화대조조각90례。치료조채용기간극입로방식요법，대조조진행전통후정중입로방식요법，비교량조적술후Cobb각규정정황、수술전후VAS평분、수술전후추체전5고도、술후인류량、술중출혈량、수술시간、수술절구장도등림상지표정황。결과치료조적Cobb각규정솔(%)、술후인류량(mL)、술중출혈량(mL)、수술시간(min)、절구장도(cm)、환자추체전5고도(%)、 VAS평분정황등각항림상지표현저우우대조조，차이구유통계학의의(P<0.05)。결론무수추관감압、무신경증상적급성흉요추골절환자응용기간극입로요법，가유효촉진병정적강복，술중출혈소，고도미창，치득림상추엄。
Objective To compare the effect of muscle gap approach and posterior middle approach in treating thoracolumbar fracture. Methods 180 cases of patients with acute thoracolumbar fractures and without neurological symptoms and spinal decompression treated in our hospital from January 2011 to January 2014 were selected and randomly divided into treatment group (90 cases) and control group (90 cases) according to different treatment. The treatment group was given the muscle gap approach, the control group received traditional posterior middle approach. The corrective situation of Cobb angle after operation, the VAS scores before and after surgery, the anterior vertebral height before and after surgery, the postoperative volume of drainage, the postoperative blood loss, the operative time, the length of incision of the two groups were compared. Results The Cobb angle correction rate (%), the postoperative volume of drainage (mL), the postoperative blood loss (mL), the operative time (min), the length of incision (cm), the anterior vertebral height (%), the VAS scores and other clinical parameters of the treatment group were significantly better than those of the control group, with statistical significant difference (P<0.05). Conclusions The application of muscle gap approach in patients with acute thoracolumbar fractures and without spinal decompression and neurological symptoms can promote them recover effectively, with less blood loss and high invasion, which is worthy of application and promotion.
