椎旁肌间隙入路伤椎置钉技术治疗胸腰段骨折的疗效分析  

Analysis of effect of lumbar and thoracic fractures treated with paravertebral intermuscular space approach

作　　者：熊含颖 吴子龙 罗庆明 袁权华 邹幼平 黄福才 郑旭辉 XIONG Han-ying;WU Zi-long;LUQing-ming(The Peopled Hospital of Guyi District,Longchuan County,Heyuan City,Guangdong 517300)

机构地区：[1]广东省河源市龙川县人民医院骨一区,广东龙川517300

出　　处：《中国伤残医学》2020年第10期1-2,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探究椎旁肌间隙入路伤椎置钉技术治疗胸腰段骨折的疗效分析.方法:选取2017年1月-2019年1月我院收治的胸腰段骨折患者50例,随机分成2组,每组均为25例,对照组应用常规性手术治疗方法,观察组应用椎旁肌间隙入路伤椎置钉技术来实施治疗.结果:观察组手术相关指标优于对照组(P<0.05),观察组术后VAS评分低于对照组(P<0.05),术后2组伤椎Cobb角无差异(P>0.05).结论:应用椎旁肌间隙入路伤椎置钉技术其手术时间比较短、患者的肌肉功能恢复很快,且手术对患者的损伤比较低,患者术后腰背疼痛感很轻微,可以在临床推广应用.Objective:To explore the efficacy of paravertebral intermuscular space approach in the treatment of thoracolumbar fractures.Methods:50 cases of patients with thoracolumbar fractures admitted to our hospital from January 2017 to January 2019 were randomly divided into two groups,each group was 25 cases.The control group was treated with conventional surgical treatment,while the research group was treated with paravertebral muscle-space approach injury vertebra screw technique.Results:the surgical correlation index in the study group was better than that in the control group(P<0.05),the postoperative VAS score in the study group was lower than that in the control group(P<0.05),and there was no difference in the Cobb Angle of injured vertebrae between the two groups after surgery(P>0.05).Conclusion:the application of the paravertebral intermuscular space approach to the injured vertebra screw technique had the advantages of short operation tim e,rapid recovery of the muscle function of the patients,relatively low injury to the patients,and very mild postoperative lumbar and back pain,which could be applied in clinical practice.

关 键 词：椎旁肌间隙入路 伤椎 置钉技术 胸腰段骨折 

分 类 号：R683.1[医药卫生—骨科学]