经皮微创椎弓根螺钉+伤椎置钉治疗脊柱骨折的效果研究  

Study on the effect of minimally invasive percutaneous pedicle screws combined with injured vertebral pedicle screw fixation in the treatment of spinal fractures

作　　者：黄洪彬 HUANG Hong-bin(Dalian Friendship Hospital,Dalian 116000,China)

机构地区：[1]大连市友谊医院,116000

出　　处：《中国实用医药》2022年第16期74-77,共4页China Practical Medicine

摘　　要：目的探究经皮微创椎弓根螺钉+伤椎置钉治疗脊柱骨折的效果。方法84例脊柱骨折患者,按照随机数字表法分为联合组和对照组,每组42例。对照组采取经后路短节段椎弓根螺钉内固定治疗,联合组采取经皮微创椎弓根螺钉+伤椎置钉治疗。比较两组患者临床治疗效果,手术相关指标及住院时间,治疗前后疼痛评分、伤椎Cobb角及伤椎前缘高度比值。结果联合组患者的治疗总有效率97.62%高于对照组的80.95%,差异具有统计学意义(P<0.05)。联合组患者的手术时间(168.54±3.46)min、手术切口长度(5.42±1.56)cm及住院时间(12.46±2.17)d均显著短于对照组的(231.23±4.67)min、(9.65±1.35)cm、(24.57±2.16)d,术中出血量(34.56±2.17)ml少于对照组的(67.54±4.32)ml,差异具有统计学意义(P<0.05)。治疗前,两组患者的疼痛评分比较差异无统计学意义(P>0.05);治疗后,联合组患者的疼痛评分(1.47±0.31)分低于对照组的(3.67±0.56)分,差异具有统计学意义(P<0.05)。治疗前,两组患者的伤椎Cobb角比较,差异无统计学意义(P>0.05);治疗后,联合组患者的伤椎Cobb角(5.67±0.43)°小于对照组的(11.43±1.43)°,差异具有统计学意义(P<0.05)。治疗前,两组患者的伤椎前缘高度比值比较,差异无统计学意义(P>0.05);治疗后,联合组患者的伤椎前缘高度比值(91.68±6.93)%高于对照组的(76.41±7.43)%,差异具有统计学意义(P<0.05)。结论应用经皮微创椎弓根螺钉+伤椎置钉治疗脊柱骨折的效果显著,可改善手术指标、伤椎Cobb角以及伤椎前缘高度比值,同时可较好的缓解患者的疼痛,值得推广。Objective To investigate the effect of minimally invasive percutaneous pedicle screws combined with injured vertebral pedicle screw fixation in the treatment of spinal fractures.Methods A total of 84 patients with spinal fractures were divided into combination group and control group according to the random numerical table,with 42 cases in each group.The control group was treated with posterior short-segment pedicle screw internal fixation,and the combination group was treated with minimally invasive percutaneous pedicle screw and injured vertebral pedicle screw fixation.Both groups were compared in terms of clinical effect,surgeryrelated indexes,hospitalization time,and pain score,Cobb angle of injured vertebra,and ratio of anterior edge height of injured vertebra before and after treatment.Results The total effective rate 97.62%in the combination group was higher than 80.95%in the control group,and the difference was statistically significant(P<0.05).In the combination group,the operation time(168.54±3.46)min,length of surgical incision(5.42±1.56)cm and hospitalization time(12.46±2.17)d were significantly shorter than(231.23±4.67)min,(9.65±1.35)cm,and(24.57±2.16)d in the control group;the intraoperative blood loss(34.56±2.17)ml was less than(67.54±4.32)ml in the control group;all the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in pain score between the two groups(P>0.05).After treatment,the pain score(1.47±0.31)points of the combination group was lower than(3.67±0.56)points of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the Cobb angle of the injured vertebra between the two groups(P>0.05).After treatment,the Cobb angle of the injured vertebra(5.67±0.43)°in the combination group was smaller than(11.43±1.43)°in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically

关 键 词：经皮微创椎弓根螺钉 伤椎置钉 脊柱骨折 疼痛评分 伤椎Cobb角 伤椎前缘高度比值 

分 类 号：R687.3[医药卫生—骨科学]