航空航天医学杂志
航空航天醫學雜誌
항공항천의학잡지
AEROSPACE MEDICINE
2014年
10期
1359-1361
,共3页
后路经椎旁肌间隙入路%椎弓根螺钉内固定%手法复位%胸腰椎骨折
後路經椎徬肌間隙入路%椎弓根螺釘內固定%手法複位%胸腰椎骨摺
후로경추방기간극입로%추궁근라정내고정%수법복위%흉요추골절
Posterior para -spinal muscle approach%Pedicle screw fixation%Thoracolumbar fracture%Manipulative reduction%Fracture of thoracic and lumbar vertebrae
目的：对比观察应用后路经椎旁肌间隙入路椎弓根螺钉内固定结合手法复位治疗胸腰椎骨折的临床疗效。方法选取100例患者分成两组，对照组给予传统打开椎弓根入路螺钉内固定的手术方式，试验采用后路经椎旁肌间隙入路椎弓根螺钉内固定结合手法复位的手术方式，对比两组的临床疗效。结果试验组的手术时间，术中出血量，术后引流量均明显少于对照组患者，均有P＜0.05，差异有统计学意义。两组的Cobb角矫正率，椎弓根植入准确率等指标没有统计学差别，均有P＞0.05。两组患者术前的疼痛VAS评分没有统计学差异， P＞0.05；试验组在术后两周，术后1个月，术后6个月的疼痛VAS评分均明显低于对照组，均有P＜0.05，差异有统计学意义。结论后路经椎旁肌间隙入路椎弓根螺钉内固定结合手法复位的手术方式与传统打开椎弓根入路螺钉内固定的手术方式有着相同的Cobb角矫正率和椎弓根钉植入准确率，临床疗效值得肯定，同时能够相对传统术式明显缩短手术时间，减少术中出血和术后引流量，术后患者疼痛较轻，是一种值得临床推广的手术方式。
目的：對比觀察應用後路經椎徬肌間隙入路椎弓根螺釘內固定結閤手法複位治療胸腰椎骨摺的臨床療效。方法選取100例患者分成兩組，對照組給予傳統打開椎弓根入路螺釘內固定的手術方式，試驗採用後路經椎徬肌間隙入路椎弓根螺釘內固定結閤手法複位的手術方式，對比兩組的臨床療效。結果試驗組的手術時間，術中齣血量，術後引流量均明顯少于對照組患者，均有P＜0.05，差異有統計學意義。兩組的Cobb角矯正率，椎弓根植入準確率等指標沒有統計學差彆，均有P＞0.05。兩組患者術前的疼痛VAS評分沒有統計學差異， P＞0.05；試驗組在術後兩週，術後1箇月，術後6箇月的疼痛VAS評分均明顯低于對照組，均有P＜0.05，差異有統計學意義。結論後路經椎徬肌間隙入路椎弓根螺釘內固定結閤手法複位的手術方式與傳統打開椎弓根入路螺釘內固定的手術方式有著相同的Cobb角矯正率和椎弓根釘植入準確率，臨床療效值得肯定，同時能夠相對傳統術式明顯縮短手術時間，減少術中齣血和術後引流量，術後患者疼痛較輕，是一種值得臨床推廣的手術方式。
목적：대비관찰응용후로경추방기간극입로추궁근라정내고정결합수법복위치료흉요추골절적림상료효。방법선취100례환자분성량조，대조조급여전통타개추궁근입로라정내고정적수술방식，시험채용후로경추방기간극입로추궁근라정내고정결합수법복위적수술방식，대비량조적림상료효。결과시험조적수술시간，술중출혈량，술후인류량균명현소우대조조환자，균유P＜0.05，차이유통계학의의。량조적Cobb각교정솔，추궁근식입준학솔등지표몰유통계학차별，균유P＞0.05。량조환자술전적동통VAS평분몰유통계학차이， P＞0.05；시험조재술후량주，술후1개월，술후6개월적동통VAS평분균명현저우대조조，균유P＜0.05，차이유통계학의의。결론후로경추방기간극입로추궁근라정내고정결합수법복위적수술방식여전통타개추궁근입로라정내고정적수술방식유착상동적Cobb각교정솔화추궁근정식입준학솔，림상료효치득긍정，동시능구상대전통술식명현축단수술시간，감소술중출혈화술후인류량，술후환자동통교경，시일충치득림상추엄적수술방식。
Objective To compare and observe the clinical effect of posterior para -spinal muscle approach for inter-nal fixation of pedicle screw combine with manipulative reduction on fracture of thoracic and lumbar vertebrae .Methods Method:choose 100 patients into two groups , control group given road into the traditional open pedicle screw internal fixation operation method , experiment using the path into the vertebral side clearance road pedicle screw internal fixation combined with manual reduction mode of operation , compared two groups of clinical curative effect.Results The opera-tion time ,amount of bleeding and postoperative drainage volume of the experimental group were significantly less than the control group , both P<0.05 , the difference was statistically significant.There were no statistically significant difference in two groups′Cobb angle correction rate and the accuracy of pedicle implantation , P>0.05.Anterior VAS pain score of two groups were not statistically significant , P>0.05;The operation pain VAS score after operation 2 weeks, 1 months and 6 months in the experimental group were significantly lower than that of the control group ,P<0.05,the difference was statistically significant.Conclusions Posterior para -spinal muscle approach for internal fixation of pedicle screw combine with manipulative reduction has the same Cobb angle correction rate and accuracy of pedicle screw implantation with traditional open pedicle into the road operation mode of screw ,its clinical efficacy should be affirmed ,and it can can shorten the operation time , reduces the bleeding and postoperative drainage volume comparing with traditional operation way, patients′postoperative pain is light , so it′s an operation mode which is worthy of clinical promotion.
