CAJ | 학술논문

目的：观察椎旁肌间隙入路治疗胸腰段椎体压缩性骨折的疗效。方法42例无需椎管减压的胸腰椎压缩性骨折患者，采用椎旁肌间隙入路21例(A 组)，传统后正中入路21例(B 组)，并均行后路短节段内固定术，分析比较两组的术中情况和术后效果。结果A 组手术时间、切口长度、术中出血量均显著优于 B 组，差异具有统计学意义(P<0.05)；A、B 组 Cobb 角纠正率相近，差异无统计学意义(P>0.05)；B 组术后多裂肌较术前显著萎缩，差异具有统计学意义(P<0.05)；术后1个月 VAS 评分， A 组显著优于 B 组，差异具有统计学意义(P<0.05)。结论经椎旁肌间隙入路治疗胸腰椎压缩性骨折具有操作简单、手术创伤小、治疗效果好、术后恢复优的特点，值得临床推广。
목적：관찰추방기간극입로치료흉요단추체압축성골절적료효。방법42례무수추관감압적흉요추압축성골절환자，채용추방기간극입로21례(A 조)，전통후정중입로21례(B 조)，병균행후로단절단내고정술，분석비교량조적술중정황화술후효과。결과A 조수술시간、절구장도、술중출혈량균현저우우 B 조，차이구유통계학의의(P<0.05)；A、B 조 Cobb 각규정솔상근，차이무통계학의의(P>0.05)；B 조술후다렬기교술전현저위축，차이구유통계학의의(P<0.05)；술후1개월 VAS 평분， A 조현저우우 B 조，차이구유통계학의의(P<0.05)。결론경추방기간극입로치료흉요추압축성골절구유조작간단、수술창상소、치료효과호、술후회복우적특점，치득림상추엄。
Objective To observe the curative effect of approach through paravertebral muscle gap approach in the treatment of thoracolumbar compression fracture of vertebral body. Methods There were 42 patients with thoracolumbar compression fracture of vertebral body without spinal canal decompression, 21 cases of them received approach through paravertebral muscle gap approach (group A) and the other 21 cases received traditional posterior midline approach (group B). Both groups received posterior short segment fixation, and their intraoperative condition and postoperative effects were analyzed and compared. Results Group A had much better operation time, incision length, and intraoperative bleeding volume than group B, and their difference had statistical significance (P<0.05). The two groups had similar Cobb angle correcting rate, and their difference had no statistical significance (P>0.05); the group B had obviously atrophicmultifidus muscle after operation. The difference had statistical significance (P<0.05). Group A had better VAS score in 1 month after operation than group B, and their difference had statistical significance (P<0.05). Conclusion Approach through paravertebral muscle gap approach in the treatment of thoracolumbar compression fracture of vertebral body has advantages of easy operation, small invasion, good effect and quick postoperative recovery. It is worthy of clinical promotion.