CAJ | 학술논문

目的：通过中期随访探讨经皮椎弓根螺钉内固定治疗胸腰椎骨折疗效。方法：2009年1月～2011年6月于宣城市人民医院骨科住院并行手术治疗的胸腰椎骨折患者40例，将其中行传统切开复位椎弓根内固定者25例，行微创经皮椎弓根内固定者15例，分别定义为对照组和治疗组，统计两组患者手术切口长度、手术时间、出血量、术后VAS评分；选取患者手术前、术后1周、术后3年伤椎高度、椎体Cobb角度等数据并分别进行评价。结果：治疗组与对照组对比显示手术切口长度、手术时间、出血量、术后VAS评分均有显著减少，两组间伤椎高度、椎体Cobb角度术后恢复及随访情况均无明显差异。结论：经皮椎弓根螺钉内固定术在更小的创伤、更低的失血量、更短的手术用时和更快的恢复时间前提下能取得传统切开复位椎弓根内固定相似的治疗效果，值得临床推广应用。
목적：통과중기수방탐토경피추궁근라정내고정치료흉요추골절료효。방법：2009년1월～2011년6월우선성시인민의원골과주원병행수술치료적흉요추골절환자40례，장기중행전통절개복위추궁근내고정자25례，행미창경피추궁근내고정자15례，분별정의위대조조화치료조，통계량조환자수술절구장도、수술시간、출혈량、술후VAS평분；선취환자수술전、술후1주、술후3년상추고도、추체Cobb각도등수거병분별진행평개。결과：치료조여대조조대비현시수술절구장도、수술시간、출혈량、술후VAS평분균유현저감소，량조간상추고도、추체Cobb각도술후회복급수방정황균무명현차이。결론：경피추궁근라정내고정술재경소적창상、경저적실혈량、경단적수술용시화경쾌적회복시간전제하능취득전통절개복위추궁근내고정상사적치료효과，치득림상추엄응용。
Objective:To evaluate the curative effects of applying percutaneous pedicle screw fixation to thoracic-lumbar fracture through mid-term follow-up.Methods:Forty patients with thoracic-lumbar fracture,admitted to our department between January 2009 and June 2011,were included and allocated to control group(n=25,treated by conventional surgical pedicle screw fixation) and treatment group(n=15,treated by minimally invasive percutaneous ped-icle screw fixation.Perioperative parameters,including the incision length,operative time,blood loss and post-operative VAS scores,were obtained,and the two groups were evaluated concerning the height of the affected vertebra before procedure ,one week after surgery and three years after operation as well as the change of Cobb angle.Results:The treatment group had shorter incision length and operative time,lower blood loss and VAS score,yet restoration for the height of the affected vertebra and Cobb angle had no significant difference between the two groups during follow-up.Conclusion:Although the two techniques may achieve the similar curative effects,yet percutaneous pedicle screw fixation can be minimal injury,lower blood loss,shorter operative time and early recovery,which is worthy of wider clinical recommendation .