CAJ | 학술논문

目的：探讨经皮后路椎弓根螺钉固定治疗脊柱胸腰段骨折的临床效果。方法随机抽选2012年10月~2014年8月在我院骨科进行手术治疗的72例脊柱胸腰段骨折患者，将其根据抽签法氛围对照组、观察组，各36例。对照组采用开放椎弓根螺钉固定法进行治疗，观察组采用经皮后路椎弓根螺钉固定法进行治疗。比较两组的临床效果。结果观察组患者的手术切口长度明显短于对照组，术中出血量、术后引流量明显少于对照组，止痛针使用时间、住院时间明显短于对照组(P<0.05)。观察组患者的手术时间略长于对照组，总有效率略高于对照组，但差异无统计学意义(P跃0.05)；两组患者均未出现较严重的并发症，其并发症发生率均为0。结论经皮后路椎弓根螺钉固定法治疗脊柱胸腰段骨折，其创伤小、疼痛低、恢复快、疗效好、并发症少，是一种科学、有效、理想、安全的临床治疗方法。
목적：탐토경피후로추궁근라정고정치료척주흉요단골절적림상효과。방법수궤추선2012년10월~2014년8월재아원골과진행수술치료적72례척주흉요단골절환자，장기근거추첨법분위대조조、관찰조，각36례。대조조채용개방추궁근라정고정법진행치료，관찰조채용경피후로추궁근라정고정법진행치료。비교량조적림상효과。결과관찰조환자적수술절구장도명현단우대조조，술중출혈량、술후인류량명현소우대조조，지통침사용시간、주원시간명현단우대조조(P<0.05)。관찰조환자적수술시간략장우대조조，총유효솔략고우대조조，단차이무통계학의의(P약0.05)；량조환자균미출현교엄중적병발증，기병발증발생솔균위0。결론경피후로추궁근라정고정법치료척주흉요단골절，기창상소、동통저、회복쾌、료효호、병발증소，시일충과학、유효、이상、안전적림상치료방법。
Objective To explore the clinical effect of percutaneous posterior pedicle screw fixation in the treatment of thoracolumbar fracture of spin. Methods From October 2012 to August 2014,72 patients with thoracolumbar fracture of spine undergone surgery in our department of orthopedics were randomly selected. They were evenly divided into con-trol group and observation group by drawing lots.Control group was given open pedicle screw fixation for clinical treat-ment,while observation group was given percutaneous posterior pedicle screw fixation.The clinical effect between two groups was compared. Results The operation incision length of observation group was significantly shorter than that of control group,the amount of bleeding during operation,postoperative drainage volume was significantly less than that of control group respectively,the usage time of needle for pain relief,hospitalization time was significantly shorter than that of control group respectively (P<0.05).The operation time of observation group was slightly longer than that of control group,the total effective rate was slightly higher than that of control group,but the difference was not statistically signifi-cant (P>0.05);the two groups had no serious complication,the incidence rate of complication was 0. Conclusion Percu-taneous posterior pedicle screw fixation in the treatment of thoracolumbar fracture of spine has advantages of small wound,slight pain,quick recovery,great effect,and few complication.Therefore,as a clinical therapeutic method,it is scien-tific,effective,ideal,and safe.