微创经皮和传统开放椎弓根螺钉内固定治疗胸腰椎骨折的临床效果比较  

Comparison on the Clinical Effects of Minimally Invasive Percutaneous and Conventional Open Pedicle Screw Fixation for Thoracolumbar Fractures

作　　者：王军[1] 黄健[1] 郭伟康[1] 

机构地区：[1]梅州市人民医院/中山大学附属梅州医院关节外科,广东梅州514031

出　　处：《临床医学工程》2016年第1期31-32,共2页Clinical Medicine & Engineering

基　　金：2014年度梅州市科技计划项目"经皮微创椎弓根钉内固定术在胸腰椎骨折中的应用"(项目编号:2014B09)

摘　　要：目的观察比较胸腰椎骨折采用微创经皮和传统开放椎弓根螺钉内固定治疗的临床效果。方法将90例胸腰椎骨折患者随机平均分为对照组(给予传统开放椎弓根螺钉内固定治疗)和观察组(行微创经皮术),比较两组各项围手术参数和影像学指标。结果观察组手术时间、术中出血量等围手术参数均优于对照组,各项指标对应比较均具有统计学差异(P<0.05)。观察组术后即刻伤椎前缘高度优于对照组(P<0.05),术后1年两组各项影像学指标差异无统计学意义(P>0.05)。结论胸腰椎骨折采用微创经皮治疗效果优于传统开放椎弓根螺钉内固定治疗,值得在临床中广泛应用。Objective To observe the clinical effects of minimally invasive percutaneous and conventional open pedicle screw fixation in the treatment of thoracolumbar fractures. Methods 90 patients with thoracolumbar fractures were randomly divided into control group（traditional open pedicle screw internal fixation treatment） and observation group（minimally invasive percutaneous surgery）. The preoperative parameters and imaging indicators of two groups were compared. Results The operation time, intraoperative blood loss and other perioperative parameters of observation group were significantly better than those of control group（P〈0.05）. The anterior vertebral body height after surgery immediately of observation group was significantly better than that of control group（P〈0.05）, however, no statistical difference was found between two groups in imaging indicators 1 year after surgery（P〉0.05）. Conclusions Minimally invasive percutaneous pedicle screw fixation has better effect than traditional open pedicle screw fixation, which is worthy of clinical promotion.

关 键 词：胸腰椎骨折 微创经皮 传统椎弓根螺钉内固定术 

分 类 号：R683.2[医药卫生—骨科学]