经皮椎弓根钉微创手术治疗胸腰椎骨折有效性及对疼痛、影像学指标的影响  

The effectiveness of percutaneous pedicle screw minimally invasive surgery for thoracolumbar fracture and its influence on pain and imaging indexes

作　　者：王磊[1] 崔维[1] 麻松[1] 朱继超[1] 刘宝戈[1] WANG Lei;CUI Wei;MA Song;ZHU Ji-Chao;LIU Bao-Ge(Department of Orthopedics,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院骨科,北京100070

出　　处：《中国疼痛医学杂志》2020年第7期510-515,共6页Chinese Journal of Pain Medicine

基　　金：首都卫生发展科研专项项目(2016-1-4096)。

摘　　要：目的:探讨经皮椎弓根钉微创手术治疗胸腰椎骨折有效性及对疼痛、影像学指标的影响。方法:选取2016年12月至2019年3月我院收治的脊柱骨折病人86例,按随机数字表法分为两组(n=43),对照组应用传统开放内固定手术治疗,研究组应用经皮椎弓根钉微创手术治疗。比较两组治疗优良率、手术期指标、伤椎影像学指标、并发症发生率、术后生活质量、视觉模拟评分法(visual analogue scale,VAS)评分。结果:研究组优良率、手术时间均高于对照组(P<0.05),术中出血量、住院时间均低于对照组(P<0.05);研究组后凸Cobb角、椎间隙高度、椎体前缘相对高度均高于对照组(P<0.05);研究组并发症发生率低于对照组(P<0.05);研究组总体健康、躯体疼痛、生理职能、社会功能、情感职能均高于对照组(P<0.05);研究组VAS评分低于对照组(P<0.05)。结论:脊柱骨折病人的治疗过程中,经皮椎弓根钉微创手术治疗更为有效,可改善病人伤椎影像学指标,预后恢复快,并发症少,以便临床推广应用。Objective:To explore the effectiveness of percutaneous pedicle screw minimally invasive surgery for thoracolumbar vertebral fractures and its impact on pain and imaging indexes.Methods:Eighty-six patients with spinal fractures admitted to our hospital from December 2016 to March 2019 were selected and divided into two groups(n=43)according to the random number table method.The patients in control group were treated with traditional open internal fixation surgery and the research group with percutaneous pedicle screw minimally invasive surgery.The two groups were compared the excellent and good rate of treatment,the index of operation period,the imaging index of injured vertebrae,the incidence of complications,the quality of life after operation,and the visual analogue scale(VAS)score.Results:The excellent rate and operation time of the research group were higher than the control group(P<0.05).The intraoperative blood loss and hospitalization time were lower than the control group(P<0.05).The kyphosis Cobb angle,intervertebral space height,and the relative height of the anterior body edge were higher than that of the control group(P<0.05).The incidence of complications in the research group was lower than that of the control group(P<0.05).The overall health,physical pain,physiological functions,social functions,and emotional functions of the study group were higher than that of the control group(P<0.05).The VAS score of the research group was lower than that of the control group(P<0.05).Conclusion:In the treatment of patients with spinal fractures,percutaneous pedicle screw minimally invasive surgery is more effective,and can improve the imaging indexes of injured vertebrae of the patients,with quicker prognosis recovery and fewer complications,so as to facilitate clinical application.

关 键 词：脊柱骨折 经皮椎弓根钉微创手术 有效性 疼痛 影像学指标 

分 类 号：R687.3[医药卫生—骨科学]