移动式C型臂X射线机在胸腰椎脊柱骨折手术中的对比研究  

Comparison of mobile C-arm X-ray system in the surgical treatment of thoracolumbar spine fractures

作　　者：地力木拉提·艾克热木 徐阔[1] 王浩[1] Dilimulati·Aikeremu;Xu Kuo;Wang Hao(Department of the Second Spine Surgery of Orthopedic Center,People′s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 838000,China)

机构地区：[1]新疆维吾尔自治区人民医院骨科中心脊柱二科,乌鲁木齐838000

出　　处：《国际外科学杂志》2022年第7期448-452,共5页International Journal of Surgery

摘　　要：目的探讨胸腰椎脊柱骨折手术治疗过程中运用移动式C型臂X射线机所取得的效果。方法回顾性分析2018年7月—2020年7月新疆维吾尔自治区人民医院收治的120例胸腰椎脊柱骨折手术患者的临床资料, 根据手术方式不同分为对照组和试验组, 每组各60例, 对照组采用传统脊柱骨折切开复位内固定术式, 试验组采取移动式C型臂X射线机结合经皮椎弓根螺钉内固定术式。对比分析两组患者手术时间、术中出血量、花费金额、视觉模拟评分(VAS)和日常生活能力量表(ADL)以及并发症发生率。正态分布的计量资料以均数±标准差(±s)表示, 组间比较采用两独立样本t检验;计数资料比较采用χ~2检验。结果对照组患者手术时间、术中出血量、花费金额、VAS、ADL评分、并发症发生率分别为(119.83±10.96) min、(90.56±30.52) mL、(4.90±0.75)万元、(4.17±0.64)分、(78.11±12.78)分、30%, 试验组分别为(103.50±13.76) min、(73.88±40.35) mL、(4.06±0.97)万元、(2.40±0.49)分、(86.00±8.86)分、5%, 两组相比差异均具有统计学意义(P<0.05)。结论在胸腰椎脊柱微创手术中应用移动式C型臂X射线机后, 能够降低患者并发症的发生率, 提高患者的生活质量, 加速患者的康复, 具备推广应用的价值。Objective To explore the effect of mobile C-arm X-ray system in the surgical treatment of thoracolumbar spine fractures.Methods The clinical data of 120 patients with thoracolumbar spine fractures admitted to People′s Hospital of Xinjiang Uygur Autonomous Region from July 2018 to July 2020 were retrospectively analyzed.According to different surgical methods,they were divided into control group and experimental group,with 60 cases in each group.The control group adopted the traditional posterior median approach lumbar fusion,and the experimental group adopted the percutaneous pedicle screw internal fixation guided by the C-arm system.The operation time,bleeding,operation cost,visual analog score(VAS)and activities of daily living(ADL)and complication rate were compared and analyzed between the two groups.Measurement data with normally distribution were expressed as mean±standard deviation(±s),and the comparison between groups was performed by two independent samples t test.The comparison between groups of count data was performed by chi-square test.Results The operation time,the blood loss,the cost,VAS,ADL score,the complication rate of the control group were(119.83±10.96)min,(90.56±30.52)mL,(4.90±0.75)ten thousand yuan,(4.17±0.64)scores,(78.11±12.78)scores and 30%,while the experimental group were(103.50±13.76)min,(73.88±40.35)mL,(4.06±0.97)ten thousand yuan,(2.40±0.49)scores,(86.00±8.86)scores and 5%,respectively,showing a significant difference between the two groups(P<0.05).Conclusions Application of mobile C-arm X-ray system in thoracolumbar spine minimally invasive surgery can reduce the probability of complications,improve the quality of life of patients,and accelerate the rehabilitation.It is valuable for popularization.

关 键 词：胸椎 腰椎 骨折 移动式C型臂X射线机 

分 类 号：R687.3[医药卫生—骨科学]