中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
24期
77-78
,共2页
胸腰椎骨折%后路肌间隙入路%椎弓根螺钉内固定
胸腰椎骨摺%後路肌間隙入路%椎弓根螺釘內固定
흉요추골절%후로기간극입로%추궁근라정내고정
Thoracolumbar fracture%Posterior paramedian approach%Pedicle screw fixation
目的：探讨无神经损伤胸腰椎骨折经后路多裂肌与最长肌肌间隙入路椎弓根螺钉系统固定的临床疗效。探讨胸腰椎骨折后路内固定的显露方法。方法通过对2009年3月-2013年6月收治的80例无神经损伤胸腰椎骨折分成甲、乙两组，每组40例。采用后路多裂肌与最长肌肌间隙入路椎弓根螺钉系统固定的患者为甲组，采用传统后入路的为乙组。比较两组的临床疗效。结果甲组在手术时间、术中出血量、术后疼痛（VAS评分）、术后积液引流、切口愈合以及并发症方面明显优于乙组，差异有统计学意义（P<0.05)。 cobb角、椎体高度矫正两组比较差异无统计学意义（P>0.05)。结论经后路多裂肌与最长肌肌间隙入路椎弓根螺钉系统固定无神经损伤胸腰椎骨折是确切有效的方法，它具有操作容易、软组织受损轻微、术中术后出血量少、手术时间短、术后恢复快、并发症少等优点。
目的：探討無神經損傷胸腰椎骨摺經後路多裂肌與最長肌肌間隙入路椎弓根螺釘繫統固定的臨床療效。探討胸腰椎骨摺後路內固定的顯露方法。方法通過對2009年3月-2013年6月收治的80例無神經損傷胸腰椎骨摺分成甲、乙兩組，每組40例。採用後路多裂肌與最長肌肌間隙入路椎弓根螺釘繫統固定的患者為甲組，採用傳統後入路的為乙組。比較兩組的臨床療效。結果甲組在手術時間、術中齣血量、術後疼痛（VAS評分）、術後積液引流、切口愈閤以及併髮癥方麵明顯優于乙組，差異有統計學意義（P<0.05)。 cobb角、椎體高度矯正兩組比較差異無統計學意義（P>0.05)。結論經後路多裂肌與最長肌肌間隙入路椎弓根螺釘繫統固定無神經損傷胸腰椎骨摺是確切有效的方法，它具有操作容易、軟組織受損輕微、術中術後齣血量少、手術時間短、術後恢複快、併髮癥少等優點。
목적：탐토무신경손상흉요추골절경후로다렬기여최장기기간극입로추궁근라정계통고정적림상료효。탐토흉요추골절후로내고정적현로방법。방법통과대2009년3월-2013년6월수치적80례무신경손상흉요추골절분성갑、을량조，매조40례。채용후로다렬기여최장기기간극입로추궁근라정계통고정적환자위갑조，채용전통후입로적위을조。비교량조적림상료효。결과갑조재수술시간、술중출혈량、술후동통（VAS평분）、술후적액인류、절구유합이급병발증방면명현우우을조，차이유통계학의의（P<0.05)。 cobb각、추체고도교정량조비교차이무통계학의의（P>0.05)。결론경후로다렬기여최장기기간극입로추궁근라정계통고정무신경손상흉요추골절시학절유효적방법，타구유조작용역、연조직수손경미、술중술후출혈량소、수술시간단、술후회복쾌、병발증소등우점。
Objective To investigate the clinical effect of pedicle screw fixation via multifidus and longissimus patium approach in the treatment of thoracolumbar fracture without neurologic injury and discuss its exposure method. Methods 80 patients with thora-columbar fracture without nerve injury admitted between March 2009 and June 2013 were divided into group A and group B with 40 in each one. Pedicle screw fixation via multifidus and longissimus patium approach was performed in the group A, while inter-nal fixation by traditional posterior approach in the group B. The clinical effects were compared between the two groups. Results In terms of operation duration, intraoperative blood loss, VAS score, drainage flow, wound healing and complication, the group A was superior to the group B with statistically significant differences, P<0.05. No statistically significant differences were observed in Cobb angle and vertebral height correction between the two groups, P>0.05. Conclusion Pedicle screw fixation via multifidus and longissimus patium approach in the treatment of thoracolumbar fracture without neurologic injury has exact curative effect and advantages of easy operation, less soft tissue injuries, less blood loss and operation duration, quick recovery and high safety etc.
