微创术式与传统术式治疗胸腰椎骨折的对照研究  

The minimal invasion operating method versus traditional operating method for thoracolumbar fracture:a clinical control study

作　　者：叶军 于志勇 白龙 陈亮清 谢振宇 

机构地区：[1]深圳市宝安区福永人民医院骨科,广东深圳518103

出　　处：《中国现代医生》2012年第23期144-145,共2页China Modern Doctor

摘　　要：目的对照研究内窥镜下胸腰椎骨折内固定的微创术式与传统术式的优缺点,明确其在胸腰椎骨折内固定术中的应用价值。方法将我科收治的胸腰椎压缩性骨折患者51例随机分为微创手术组和传统手术组。记录并对照比较两种手术方式治疗效果的优缺点。结果微创手术组与传统手术组对比显示,切口长度、术中出血量及手术时间均有显著减少,差异有统计学意义(P<0.01)。结论 Quadrant微创手术系统具有手术切口小、术中出血少、肌肉剥离轻、手术创伤小等优点,具有极高的临床推广应用价值。Objective To compare the clinical results of the two operating methods： minimal invasion operating method ver sus traditional operating method in the treatment of thoracolumbar fracture, to confirm the clinical advantages of minimal invasion operating method in the treatment of thoracolumbar fracture. Methods Fifty-one cases suffered from thoraeolum bar fracture were divided into two groups randomly： minimal invasion operating method group and traditional operating method group. The clinical results were evaluated between the two groups, which were compared statistically. Results Pa tients in the minimal group by contrast to traditional group, operating length, operating bleeding volume, operating time were reduced obviously, which had significant differences （P 〈 0.01）. Conclusion Minimal operating method has many ad vantages： shorter operating length, less bleeding volume, muscle stripped lighter, less operating time, which has a promising clinical application in the treatment of thoracolumbar fracture.

关 键 词：胸腰椎骨折 微创 内固定 QUADRANT 

分 类 号：R687.3[医药卫生—骨科学]