小切口肌间隙入路在治疗胸腰椎骨折中的应用  

The Treatment of thoracolumbar fracture via Mini-incision Wiltse Approach

作　　者：李峰[1] 方苏亭[1] 霍雄涛[1] 李刚[1] 

机构地区：[1]湖北省中医院光谷院区骨伤科,武汉430074

出　　处：《中国中医骨伤科杂志》2013年第8期18-20,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨小切口肌间隙入路治疗胸腰椎骨折的效果及并发症。方法:2011年6月-2012年9月,采用小切口肌间隙入路治疗胸腰椎患者12例,其中男性9例,女性3例;平均年龄43.1岁,所有患者均无神经损害表现。术后总结小切口肌间隙入路治疗胸腰椎骨折的临床效果并进行评价分析。结果:12例患者随访时间6～12个月。椎体前缘高度、后凸cobb角由术前58.9%、2 9.2°改善至术后9 2.4%、4.3°。手术前后比较差异均有统计学意义(P<0.01)。无并发症出现。12例患者均获骨性愈合。结论:小切口肌间隙入路治疗胸腰椎骨折具有操作简便、创伤小、术后恢复快等优点,临床疗效与开放性手术相同,费用低,可作为无神经症状或神经症状轻微胸腰椎骨折治疗的优先选择。Objective：To explore the therapeutic effect and complications of thoracolumbar fracture via mini-incision Wiltse Approach. Methods：From June 2011 to September 2012, 12 cases with thoracolumbar fracture were treated via mini-inci- sion Wiltse Approach, including 9 males and 3 females. The average age was 43.1 years old and all cases have no neural in- jury. The therapeutic effect of thoracolumbar fracture via mini-incision Wiltse Approach was summarized. Results： 12 cases were followed up for 6 - 12 months. The anterior border height of vertebral body increased from 58.9 % preoperatively to 9 2.4 % postoperatively and the Cobb angle decreased from 2 9.2%preoperatively to 4.3%postoperatively. There was significant difference between pre-operation and post-operation （P〈0.01）. Fusion of the grafted bone was achieved in all 12 patients and there was no complications. Conclusion：The mini-incision Wiltse Approach has the advantages of simple operation,little injury, low payment and early recovery in treatment of thoracolumbar fracture. It has the same clinical effect as open sur- gery and should be the first choice for thoracolumbar vertebral fracture patients without nerve symptoms.

关 键 词：微创 Wiltse入路 胸腰椎骨折 

分 类 号：R683.2[医药卫生—骨科学]