胸腰椎骨折导航仪辅助经皮内固定术疗效的影响因素分析  

Analysis of the influencing factors of percutaneous fixation for thoracolumbar fracture assisted by navigator

作　　者：李磊 孙亮[1] 褚培林 田纪伟 孙中仪 Li Lei;Sun Liang;Chu Peilin;Tian Jiwei;Sun Zhongyi(Ma An Shan General Hospital of Ranger-Duree Healthcare orthopedics department,Maanshan,Anhui,China 243000)

机构地区：[1]德驭医疗马鞍山总医院(原马鞍山市中心医院),安徽马鞍山243000

出　　处：《现代科学仪器》2022年第4期97-102,共6页Modern Scientific Instruments

基　　金：南京市科技计划重点项目(2019B192):区域性创伤救治体系建设的关键技术研究。

摘　　要：目的:分析无神经损伤的胸腰椎骨折导航仪辅助经皮内固定术治疗效果的影响因素。方法:回顾性分析2017年3月~2021年8月158例采用导航辅助经皮内固定术治疗的无神经根损伤的胸腰椎骨折患者,据疗效分优良组和无效组,分析影响疗效的因素。结果:本次研究的无效率为13.29%;无效组年龄、受伤至手术时间、骨折压缩III型等指标占比均高于优良组(P<0.05);Logistic回归分析可知年龄、受伤至手术时间、骨折压缩III型等均为无效的危险因素。结论:无神经损伤的胸腰椎骨折导航辅助经皮内固定术效果确切,部分患者治疗效果不佳,应及时针对性干预以提高疗效。Objective:To analyze the influencing factors of navigation-assisted percutaneous fixation for thoracolumbar fractures without nerve injury.Methods:Retrospective analysis from March 2017 to August 2021,158 patients with thoracolumbar fracture without nerve root injury were treated with navigation-assisted percutaneous fixation excellent group and ineffective group,analyze the influencing factors of curative effect.Results:The inefficiency of this study was 13.29%.Age,time from injury to operation,bone in invalid group the proportion of indicators such as folding type III was higher than that of excellent group(P<0.05);Logistic regression analysis showed that age,time from injury to operation,fracture compression type III,etc were ineffective risk factors.Conclusion:Navigation-assisted percutaneous fixation of thoracolumbar fractures without nerve injury is effective,some patients have poor treatment effect timely targeted intervention to improve the efficacy.

关 键 词：胸腰椎骨折 导航经皮内固定 影响因素 

分 类 号：R683.2[医药卫生—骨科学]