中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
29期
117-119
,共3页
肌间隙入路伤椎置钉%胸腰椎骨折%临床疗效
肌間隙入路傷椎置釘%胸腰椎骨摺%臨床療效
기간극입로상추치정%흉요추골절%림상료효
Vertebral pedicle screw by paraspinal approach%Thoracic and lumbar fractures%Clinical effect
目的：研究并分析肌间隙入路伤椎置钉治疗胸腰椎骨折的临床疗效。方法：选取2013年1月-2014年6月在本院进行手术治疗的66例胸腰椎骨折患者作为研究对象，根据手术方式的不同将其分为对照组（传统后正中入路手术组）和观察组（肌间隙入路伤椎置钉组），每组各33例。然后将两组患者的手术时间、术中出血量、术后疼痛情况及手术前后的椎体相关参数进行分别统计及比较。结果：观察组的手术时间明显短于对照组，术中出血量明显少于对照组，术后12 h疼痛程度明显小于对照组，术后1个月及6个月的椎体相关参数均明显优于对照组，差异均有统计学意义（P<0.05）。结论：肌间隙入路伤椎置钉治疗胸腰椎骨折的临床疗效较好，综合应用价值较高。
目的：研究併分析肌間隙入路傷椎置釘治療胸腰椎骨摺的臨床療效。方法：選取2013年1月-2014年6月在本院進行手術治療的66例胸腰椎骨摺患者作為研究對象，根據手術方式的不同將其分為對照組（傳統後正中入路手術組）和觀察組（肌間隙入路傷椎置釘組），每組各33例。然後將兩組患者的手術時間、術中齣血量、術後疼痛情況及手術前後的椎體相關參數進行分彆統計及比較。結果：觀察組的手術時間明顯短于對照組，術中齣血量明顯少于對照組，術後12 h疼痛程度明顯小于對照組，術後1箇月及6箇月的椎體相關參數均明顯優于對照組，差異均有統計學意義（P<0.05）。結論：肌間隙入路傷椎置釘治療胸腰椎骨摺的臨床療效較好，綜閤應用價值較高。
목적：연구병분석기간극입로상추치정치료흉요추골절적림상료효。방법：선취2013년1월-2014년6월재본원진행수술치료적66례흉요추골절환자작위연구대상，근거수술방식적불동장기분위대조조（전통후정중입로수술조）화관찰조（기간극입로상추치정조），매조각33례。연후장량조환자적수술시간、술중출혈량、술후동통정황급수술전후적추체상관삼수진행분별통계급비교。결과：관찰조적수술시간명현단우대조조，술중출혈량명현소우대조조，술후12 h동통정도명현소우대조조，술후1개월급6개월적추체상관삼수균명현우우대조조，차이균유통계학의의（P<0.05）。결론：기간극입로상추치정치료흉요추골절적림상료효교호，종합응용개치교고。
Objective:To study and analyze the clinical effect of vertebral pedicle screw by paraspinal approach in the treatment of patients with thoracic and lumbar fractures.Method:66 patients with thoracic and lumbar fractures in our hospital from January 2013 to June 2014 were selected as research objects,and all the patients were divided into the control group(conventional operation by posterior approach group) and the observation group(vertebral pedicle screw by paraspinal approach group) according to the operation methods,33 cases in each group.Then the operation time,intraoperative blood loss,postoperative pain state and related parameters of vertebral body before and after the operation of the two groups were respectively analyzed and compared.Result:The operation time of the observation group was significantly shorter than that of control group,the intraoperative blood loss was significantly less than that of control group,the postoperative pain degree was significantly lighter than that of control group,the related parameters of vertebral body 1 month and 6 months after the operation were all significantly better than those of control group,the differences were statistically significant(P<0.05).Conclusion:The clinical effect of vertebral pedicle screw by paraspinal approach in the treatment of patients with thoracic and lumbar fractures is better,and its comprehensive application value is higher.
