微创与传统正中切口行胸腰椎AF取出术的治疗效果比较  

Comparison of therapeutic effect between minimal invasion surgery and traditional lumbar and thoracic spine AF removal surgery via a midline incision

作　　者：曾本强 李红[1] 唐凤[1] 罗凌云[1,2] 

机构地区：[1]四川成都市温江区人民医院骨科,四川成都611130 [2]四川成都市温江区人民医院放射科

出　　处：《中国医学装备》2011年第4期63-66,共4页China Medical Equipment

摘　　要：目的:探讨微创与传统胸腰椎AF钉取出的疗效。方法:自2004年1月-2010年12月,对78例胸腰椎AF内固定术后患者,在随机状态下36例采用微创下行内固定物取出术。其中男23例,女13例;年龄25～72岁,平均41岁。取内固定手术距内固定手术时间12～25个月,平均18个月。手术过程经准确定位后,微创取出。传统组42例,其中男28例,女14例,年龄26～72岁,平均40岁。结果:微创以及传统组均获得2月随访,两组术后伤口愈合良好,无感染、截瘫等并发症。微创组在住院时间、出血量、以及恢复时间方面均优于传统组,差异均有统计学意义(P﹤0.5)。结论:微创胸腰椎AF取出术与传统的内固定取出方法相比是一种简单实用易掌握的办法,在不增加手术时间的基础上,此方法出血少,创伤小,恢复时间更短。Objective：To compare the therapeutic effect of traditional lumbar and thoracic spine AF removal surgery via a midline incision with minimally invasive surgery.Methods：78 lumbar and thoracic patients fixed with AF from January 2004 to September 2010 were selected.36 were randomly selected as research group which were treated with minimally invasive surgery when AF was removed.23 of the research group were male and 13 female.The age was from 25 to 72 and the average age 41.Time needed from fixation surgery to removal surgery ranged from 12 to 25 months and the average time was 18 months.AF was removed with minimal invasion after precise location.Results：The other 42 patients were control group which were treated with traditional surgery method.28 of the control group were male and 14 female.The age was from 26 to 72 and the average 40.Conclusions：Both the research group and the control group were given follow-up of two months.We were informed that the incision of both groups healed well with no complications such as infection,paraplegia,etc.The hospital stay,the amount of bleeding,and the recovery time were compared between two groups and the results show that differences are statistically significant（p0.5）and the result of the research group are better than that of the control group.We draw a conclusion that minimal invasion AF removal surgery is a more simple and practical way in comparison with the traditional surgery via a midline incision.It has such advantages over the traditional surgery as smaller bleeding amount,smaller incision,and less recovery time without increasing the operative time.

关 键 词：微创 传统 胸腰椎AF 取出术 比较 

分 类 号：R61[医药卫生—外科学]