CAJ | 학술논문

目的：分析经椎旁肌间隙入路治疗胸腰椎骨折的临床疗效，探讨胸腰椎骨折内固定手术的最佳显露方式。方法搜集胸腰椎骨折患者60例并随机分为A、B两组，每组各30例，采用经椎旁肌间隙入路方式的为A组，采用传统后入路方式的为B组，比较两组的临床效果。结果手术时间、术中出血量、术后引流量、术后疼痛感觉程度VAS评分)、切口并发症方面比较A组明显优于B组两组比较差异有统计学意义P<0.05)，椎体高度矫正率、Cobb角矫正率方面两组比较差异无统计学意义P>0.05)。结论经椎旁肌间隙入路显露方式虽具有操作容易、软组织受损轻微、术中出血量少等优点。
목적：분석경추방기간극입로치료흉요추골절적림상료효，탐토흉요추골절내고정수술적최가현로방식。방법수집흉요추골절환자60례병수궤분위A、B량조，매조각30례，채용경추방기간극입로방식적위A조，채용전통후입로방식적위B조，비교량조적림상효과。결과수술시간、술중출혈량、술후인류량、술후동통감각정도VAS평분)、절구병발증방면비교A조명현우우B조량조비교차이유통계학의의P<0.05)，추체고도교정솔、Cobb각교정솔방면량조비교차이무통계학의의P>0.05)。결론경추방기간극입로현로방식수구유조작용역、연조직수손경미、술중출혈량소등우점。
[Objective] Analysis the vertebral side muscle clearance into the treatment of thoracolumbar fractures and the clinical efficacy of thoracolumbar fractures discussed in fixed surgery way best show.[ method]: Col ect sixty cases of patients with thoracolumbar fractures and randomly divided into A, B two groups of each group and each group was 30 patients with vertebral side by muscle gap into the way the way for A group, after the traditional way of access for group B, compared with two groups of clinical effect. [Result] The operation time, intraoperative and postoperative bleeding can lead flow, postoperative pain VAS score feel degree), incision complications in the comparison group A was better than group B, , two groups of comparisons difference have statistical significance. P>0.05).conclusion The vertebral side muscle clearance into the road show way it is easy to operate, soft tissue damage slightly, amount of bleeding during the operation, the advantages of less.