CAJ | 학술논문

目的：探讨椎弓根钉复位固定结合经椎弓根椎体内植骨术治疗胸腰椎骨折的临床效果。方法选取本院2011年12月～2013年12月胸腰椎骨折患者62例，采用随机数字表法分为两组，31例患者实施传统开放椎弓根钉复位固定结合经椎弓根椎体内植骨术治疗为对照组，31例患者实施经皮椎弓根钉复位固定结合经椎弓根椎体内植骨术治疗为观察组，比较两组患者的治疗效果。结果治疗后，两组患者伤椎前缘高度、伤椎后缘高度均显著增加，而 Cobb 角、疼痛评分均显著降低。观察组患者伤椎前缘高度、伤椎后缘高度均明显高于对照组，而 Cobb 角、疼痛评分、并发症发生率均明显低于对照组，手术时间、X 线暴露时间均明显长于对照组，而术中出血量、术后伤口引流量均明显少于对照组，差异均有统计学意义（P ＜0.05）。结论椎弓根钉复位固定结合经椎弓根椎体内植骨术是治疗胸腰椎骨折的有效方法，其中经皮手术效果要明显好于传统开放手术。
목적：탐토추궁근정복위고정결합경추궁근추체내식골술치료흉요추골절적림상효과。방법선취본원2011년12월～2013년12월흉요추골절환자62례，채용수궤수자표법분위량조，31례환자실시전통개방추궁근정복위고정결합경추궁근추체내식골술치료위대조조，31례환자실시경피추궁근정복위고정결합경추궁근추체내식골술치료위관찰조，비교량조환자적치료효과。결과치료후，량조환자상추전연고도、상추후연고도균현저증가，이 Cobb 각、동통평분균현저강저。관찰조환자상추전연고도、상추후연고도균명현고우대조조，이 Cobb 각、동통평분、병발증발생솔균명현저우대조조，수술시간、X 선폭로시간균명현장우대조조，이술중출혈량、술후상구인류량균명현소우대조조，차이균유통계학의의（P ＜0.05）。결론추궁근정복위고정결합경추궁근추체내식골술시치료흉요추골절적유효방법，기중경피수술효과요명현호우전통개방수술。
Objective To investigate clinical effect of pedicle screws fixation combined with transpedicular intracorporeal grafting surgery in treatment of thoracolumbar fractures. Methods 62 patients with thoracolumbar fractures were selected in hospital from December 2011 to December 2013,who were randomly divided into four groups.31 patients treated traditional open pedicle screws fixation combined with transpedicular intracorporeal grafting surgery as control group.31 patients treated percutaneous pedicle screw fixation combined with transpedicular intracorporeal grafting surgery as observation group. Treatment effect was compared between two groups. Results After treatment,vertebral body height and vertebral posterior height increased significantly in two groups while Cobb angle and pain score decreased significantly. Vertebral body height and vertebral posterior height in observation group were significantly higher than control group,while Cobb angle;pain score;complication rate were significantly lower than control group,while operation time and X-ray exposure time were significantly longer than control group, while intraoperative bleeding and postoperative wound drainage were significantly less than control group. Difference was statistically significant(P < 0.05). Conclusion Pedicle screws fixation combined with transpedicular intracorporeal grafting surgery is effective method in treatment of thoracolumbar fractures.Effect of percutaneous operation is better than traditional open operation.