切开减压椎弓根内固定治疗急性脊柱创伤对患者Cobb’s角及生命质量的影响  

Influence of open decompression and pedicle fixation in the treatment of acute spinal trauma on the Cobb's angle and quality of life of patients

作　　者：黄乔[1] 文华林[1] 柳维才 范昊[1] HUANG Qiao;WEN Hualin;LIU Weicai;FAN Hao(Department of Orthopedics,Yuechi County People's Hospital,Guang'an,Sichuan,638300,China)

机构地区：[1]岳池县人民医院骨科,四川广安638300

出　　处：《当代医学》2022年第24期36-39,共4页Contemporary Medicine

摘　　要：目的研究切开减压椎弓根内固定术治疗急性脊柱创伤对患者Cobb’s角及生命质量的影响。方法选取2018年4月至2019年1月本院收治的急性脊柱创伤患者82例作为研究对象,按随机数字表法分为观察组与对照组,每组41例。对照组行胸腰椎骨折前路内固定术,观察组行切开减压椎弓根内固定术,比较两组手术情况指标、术后伤椎Cobb’s角、椎体前缘及后缘压缩高度、椎管占位率、受损神经功能、生命质量及术后并发症发生率。结果观察组手术时间、住院时间均短于对照组,术中出血量少于对照组(P<0.05)。末次随访时,两组伤椎Cobb’s角小于术前,椎体前缘压缩高度、椎体后缘压缩高度、椎管占位率均低于术前,且观察组伤椎Cobb’s角小于对照组,椎体前缘压缩高度、椎体后缘压缩高度、椎管占位率均低于对照组(P<0.05)。末次随访时,观察组受损神经恢复情况优于对照组(P<0.05)。术前,两组Barthel指数评分比较差异无统计学意义;末次随访时,两组Barthel指数评分均高于术前,且观察组高于对照组(P<0.05)。观察组术后并发症发生率低于对照组(P<0.05)。结论切开减压椎弓根内固定术治疗急性脊柱创伤患者效果显著,能减小Cobb’s角度,降低椎体前缘压缩高度、后缘压缩高度及椎管占位率,促进脊髓神经恢复,改善患者生命质量,减少术后并发症。Objective To study the influence of open decompression and pedicle fixation in the treatment of acute spinal trauma on the Cobb's angle and quality of life of patients.Methods 82 patients with acute spinal trauma treated in the hospital from April 2018 and January 2019 were selected as the research subjects,and they were divided into observation group and control group according to random number table method,with 41 cases in each group.The control group underwent anterior internal fixation for thoracolumbar fractures,while observation group underwent open decompression and pedicle fixation,the surgical indicators,the Cobb's angle of injured vertebra,compression height of vertebral anterior and posterior edges,space occupation rate of spinal canals,damaged nerve function,quality of life and incidence of postoperative complications were compared between the two groups.Results The operation time and hospitalization time in observation group were shorter than those in control group,and intraoperative blood loss was less than that in control group(P<0.05).At the last follow-up,Cobb's angle of injured vertebra was smaller than that before surgery,compression height of vertebral anterior and posterior edges and space occupation rate of spinal canals in the both groups were lower than those before surgery,and the Cobb's angle of injured vertebra in the observation group was smaller than control group,compression height of vertebral anterior and posterior edges,and space occupation rate of spinal canals in the observation group were lower than those in the control group(P<0.05).At the last time of follow-up,the recovery of damaged nerves in the observation group was better than that in the control group(P<0.05).Before surgery,there was no significant difference in scores of Barthel index between the two groups;at the last time of follow-up,the scores of Barthel index in the both group were higher than at before surgery,and the observation group were higher than the control group(P<0.05).The incidence of postoperative comp

关 键 词：急性脊柱损伤 椎弓根 Cobb’s角 内固定 

分 类 号：R687.3[医药卫生—骨科学]