经皮椎弓根内固定术治疗胸腰椎骨折患者的疗效观察  

Minimally Invasive Percutaneous Pedicle Screws Osteosynthesis for Thoracolumbar Fractures

作　　者：江伟[1] 刘兵[1] 余游[1] 蔡建平[1] 樊元胜[1] 

机构地区：[1]四川省宜宾市第二人民医院骨科,四川宜宾644000

出　　处：《现代生物医学进展》2015年第21期4112-4114,4138,共4页Progress in Modern Biomedicine

摘　　要：目的：探讨经皮椎弓根内固定术（MIPPSO）治疗胸腰椎骨折患者的效果。方法：选择2013年1月～2014年12月在我院就诊胸腰椎骨折患者28例，随机分成开放组和微创组，每组各14例。开放组行传统切开椎弓根螺钉内固定术，微创组行MIPPSO进行治疗。比较两组患者手术时间、术中出血量、术后引流量、创口长度、住院天数、椎体前缘高度百分比和后凸Cobb角指标，并进行统计分析。结果：两组手术时间无统计学差异（P〉0．05），而术中出血量、术后引流量、创口长度和住院天数的差异均有统计学意义，且开放组均大于微创组（P〈0．01）；两组椎体前缘高度百分比和后凸Cobb角术后较术前比均有所改善，差异均有统计学意义（P〈0．01），两组间术前和术后比较，差异均无统计学意义（P〉0．05）。结论：MIPPSO对胸腰椎骨折的治疗效果优于传统切开椎弓根螺钉内固定术，具有出血少、创伤小，且住院时间短等优点。Objective： To explore the clinical effect of minimally invasive percutaneous pedicle screws osteosynthesis（MIPPSO） in the treatment of thoracolumbar fractures. Methods： A total of 28 patients with thoracolumbar fractures, who were treated in Yibin Second People＇s Hospital of Sichuan Province from January 2013 to December 2014, were randomly divided into open group （n=14） and mini- mally invasive group （n=14）. The open group was treated with traditional open pedicle screws osteosynthesis, while the minimally inva- sive group, MIPPSO. The operation time, intraoperative blood loss, postoperative drainage, wound length, hospitalization time, anterior vertebral body height and Cobb＇s angle between the two groups were compared and analyzed. Results： There was no significant differ- ence in the operation time between the two groups （P〉0.05）, but there was statistical significance in the intraoperative blood loss, postop- erative drainage, wound length, hospitalization time between the two groups, the levels of open group were significantly higher than those of minimally invasive group（P〈0.01）. Compared with before operation, the anterior vertebral body height and Cobb＇s angle of two groups after operation were improved, the differences were statistically significant P〈0.01）. Compared before operation with after operation, there was no significant difference between the two groups （P〉0.05）. Conclusion： In the treatment effect of patients with thoracolumbar fractures, MIPPSO is better than traditional open pedicle screws osteosynthesis, with the advantages of less intraoperative blood loss, minimally invasive, and shorter hospitalization time.

关 键 词：胸腰椎骨折 经皮椎弓根内固定术 临床效果 

分 类 号：R683[医药卫生—骨科学]