椎弓根钉复位固定结合经椎弓根椎体内植骨术治疗胸腰椎骨折的临床研究  

Clinical research of pedicle screws fixation combined with transpedicular intracorporeal grafting surgery in treatment of thoracolumbar fractures

作　　者：王江华 罗光雄 周兴 彭超 陈朝平 孙宏斌 

机构地区：[1]云南省曲靖市中医院骨科,云南曲靖655000

出　　处：《中国医药科学》2015年第10期179-181,189,共4页China Medicine And Pharmacy

摘　　要：目的：探讨椎弓根钉复位固定结合经椎弓根椎体内植骨术治疗胸腰椎骨折的临床效果。方法选取本院2011年12月～2013年12月胸腰椎骨折患者62例，采用随机数字表法分为两组，31例患者实施传统开放椎弓根钉复位固定结合经椎弓根椎体内植骨术治疗为对照组，31例患者实施经皮椎弓根钉复位固定结合经椎弓根椎体内植骨术治疗为观察组，比较两组患者的治疗效果。结果治疗后，两组患者伤椎前缘高度、伤椎后缘高度均显著增加，而 Cobb 角、疼痛评分均显著降低。观察组患者伤椎前缘高度、伤椎后缘高度均明显高于对照组，而 Cobb 角、疼痛评分、并发症发生率均明显低于对照组，手术时间、X 线暴露时间均明显长于对照组，而术中出血量、术后伤口引流量均明显少于对照组，差异均有统计学意义（P ＜0.05）。结论椎弓根钉复位固定结合经椎弓根椎体内植骨术是治疗胸腰椎骨折的有效方法，其中经皮手术效果要明显好于传统开放手术。Objective To investigate clinical effect of pedicle screws fixation combined with transpedicular intracorporeal grafting surgery in treatment of thoracolumbar fractures. Methods 62 patients with thoracolumbar fractures were selected in hospital from December 2011 to December 2013,who were randomly divided into four groups.31 patients treated traditional open pedicle screws fixation combined with transpedicular intracorporeal grafting surgery as control group.31 patients treated percutaneous pedicle screw fixation combined with transpedicular intracorporeal grafting surgery as observation group. Treatment effect was compared between two groups. Results After treatment,vertebral body height and vertebral posterior height increased significantly in two groups while Cobb angle and pain score decreased significantly. Vertebral body height and vertebral posterior height in observation group were significantly higher than control group,while Cobb angle;pain score;complication rate were significantly lower than control group,while operation time and X-ray exposure time were significantly longer than control group, while intraoperative bleeding and postoperative wound drainage were significantly less than control group. Difference was statistically significant（P 〈 0.05）. Conclusion Pedicle screws fixation combined with transpedicular intracorporeal grafting surgery is effective method in treatment of thoracolumbar fractures.Effect of percutaneous operation is better than traditional open operation.

关 键 词：椎弓根钉复位固定 经椎弓根椎体内植骨术 胸腰椎骨折 

分 类 号：R687.3[医药卫生—骨科学]