微创经皮椎弓根螺钉及伤椎置钉治疗胸腰段脊椎骨折的临床分析  

Clinical Analysis of Minimally Invasive Percutaneous Pedicle Screw and Traumatic Pedicle Screw in Treatment of Thoracolumbar Spine Fracture

作　　者：肖涛 XIAO Tao(Bijie First People's Hospital,Bijie,Guizhou 551700,China)

机构地区：[1]毕节市第一人民医院,贵州毕节551700

出　　处：《大医生》2020年第8期10-10,11,12,共3页Doctor

摘　　要：目的观察微创经皮椎弓根螺钉及伤椎置钉治疗胸腰椎骨折的应用效果。方法选取毕节市第一人民医院2018年1月至12月收治的90例胸腰椎骨折患者为研究对象,采用随机数字表法分为对照组与观察组,各45例。对照组进行开放性手术治疗;观察组进行微创经皮椎弓根螺钉及伤椎置钉手术治疗,对比两组患者的治疗、恢复情况。结果观察组手术时间(174.3±22.0)min、术中出血量(775.8±246.7)mL、住院时间(11.6±3.8)d、视觉模拟(VAS)评分(1.2±0.7)分,显著优于对照组的手术时间(226.7±36.9)min、术中出血量(1310.1±445.8)mL、住院时间(22.5±12.7)d、VAS评分(2.4±0.8)分,观察组术后以及术后1年检查显示为伤椎前缘压缩度(3.7±5.0)%、(4.6±5.3)%,Cobb角(3.2±1.1)°、(4.0±1.1)°优于对照组术后以及术后1年检查显示为伤椎前缘压缩度(6.1±7.7)%、(7.5±7.9)%,Cobb角(6.4±2.1)°、(7.9±2.5)°。结论对胸腰椎骨折患者进行治疗时,微创治疗方法在减少创伤、术后快速恢复方面具有显著优势。Objective To observe the effects of minimally invasive percutaneous pedicle screw and traumatic pedicle screw in the treatment of thoracolumbar fractures.Methods A total of 90 cases of thoracolumbar fracture patients admitted to the Bijie First people's Hospital from January to December 2018 were selected as the research objects,which were divided into control group and observation group with 45 cases in each group,45 cases each group.The control group was treated with open surgery;the observation group was treated with minimally invasive percutaneous pedicle screw and traumatic pedicle screw surgery,and the treatment and recovery of the two groups were compared.Results The operative time(174.3±22.0)min,intraoperative blood loss(775.8±246.7)mL,hospital stay(11.6±3.8)d,visual analogue scale(VAS)score(1.2±0.7)points in the observation group were significantly better than those in the control group(226.7±36.9)min,intraoperative blood loss(1310.1±445.8)mL,hospital stay(22.5±12.7)d,and VAS score(2.4±0.8)points.Postoperative examination of the observation group showed that the compression degree of the anterior edge of the injured vertebra was(3.7±5.0)%,(4.6±5.3)%,Cobb angles(3.2±1.1)°and(4.0±1.1)°were better than that of the control group.Postoperative examination showed that the compression degree of the anterior edge of the injured vertebra was(6.1±7.7)%,(7.5±7.9)%,and Cobb angles(6.4±2.1)°and(7.9±2.5)°.Conclusion When treating,minimally invasive treatment has significant advantages for patients with thoracolumbar fracture in reducing trauma and rapid recovery after surgery.

关 键 词：胸腰段脊椎骨折 开放性手术 微创手术 伤椎置钉 

分 类 号：R68[医药卫生—骨科学]