中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2015年
7期
127-128,130
,共3页
胸腰椎骨折%微创经皮椎弓根螺钉内固定%开放手术
胸腰椎骨摺%微創經皮椎弓根螺釘內固定%開放手術
흉요추골절%미창경피추궁근라정내고정%개방수술
Thoracolumbar fractures%Minimally invasive percutaneous pedicle screw fixation%Open surgery
目的：对胸腰椎骨折应用微创经皮椎弓根螺钉内固定治疗的临床疗效进行分析。方法：选取胸腰椎骨折患者78例，根据治疗方法不同将其分为两组，以行传统开放椎弓根钉内固定术的38例患者为对照组，以行微创经皮椎弓根螺钉内固定的40例患者为观察组，分析两组患者围术期指标及治疗效果。结果：观察组手术用时及切口长度显著短于对照组，术中出血量、术后引流量显著少于对照组，术后1d VAS评分显著低于对照组。两组患者术后椎体前缘高度与后凸C0bb’s角均显著改善，且组间对比无显著差异；两组患者术后1年Oswestry功能障碍指数评分无显著差异。结论：胸腰椎骨折应用微创经皮椎弓根螺钉内固定治疗临床疗效显著，操作简便且给患者造成的创伤较小，有利于患者术后尽快恢复，值得在临床中推广。
目的：對胸腰椎骨摺應用微創經皮椎弓根螺釘內固定治療的臨床療效進行分析。方法：選取胸腰椎骨摺患者78例，根據治療方法不同將其分為兩組，以行傳統開放椎弓根釘內固定術的38例患者為對照組，以行微創經皮椎弓根螺釘內固定的40例患者為觀察組，分析兩組患者圍術期指標及治療效果。結果：觀察組手術用時及切口長度顯著短于對照組，術中齣血量、術後引流量顯著少于對照組，術後1d VAS評分顯著低于對照組。兩組患者術後椎體前緣高度與後凸C0bb’s角均顯著改善，且組間對比無顯著差異；兩組患者術後1年Oswestry功能障礙指數評分無顯著差異。結論：胸腰椎骨摺應用微創經皮椎弓根螺釘內固定治療臨床療效顯著，操作簡便且給患者造成的創傷較小，有利于患者術後儘快恢複，值得在臨床中推廣。
목적：대흉요추골절응용미창경피추궁근라정내고정치료적림상료효진행분석。방법：선취흉요추골절환자78례，근거치료방법불동장기분위량조，이행전통개방추궁근정내고정술적38례환자위대조조，이행미창경피추궁근라정내고정적40례환자위관찰조，분석량조환자위술기지표급치료효과。결과：관찰조수술용시급절구장도현저단우대조조，술중출혈량、술후인류량현저소우대조조，술후1d VAS평분현저저우대조조。량조환자술후추체전연고도여후철C0bb’s각균현저개선，차조간대비무현저차이；량조환자술후1년Oswestry공능장애지수평분무현저차이。결론：흉요추골절응용미창경피추궁근라정내고정치료림상료효현저，조작간편차급환자조성적창상교소，유리우환자술후진쾌회복，치득재림상중추엄。
Objective: To analyze clinical effects of minimally invasive percutaneous pedicle screw fixation on thoracolumbar fractures. Methods:78 patients were randomly divided into two groups, the observation group was given minimally invasive percutaneous pedicle screw fixation, and another was given traditional open pedicle screw fixation. Results: Surgery time, incision length, bleeding volume, postoperative drainage volume and postoperative 1d VAS score in the observation group were significantly lower. Postoperative anterior vertebral height and kyphosis C0bb's corner in two groups were significantly improved without significant differences. After 1 year, the Oswestry disability index score in two groups shows no significant difference.
