切开减压椎弓根内固定治疗急性脊柱创伤患者的临床效果  

Clinical Effect of Incisional Decompression and Pedicle Internal Fixation in the Treatment of Patients with Acute Spinal Trauma

作　　者：张兆川 赵腾 ZHANG Zhaochuan;ZHAO Teng(Department of Spinal Vascular Surgery,Zaozhuang Hospital of Shandong Health Group,Zaozhuang,Shandong Province,277100 China)

机构地区：[1]山东健康集团枣庄医院脊柱血管外科,山东枣庄277100

出　　处：《系统医学》2023年第13期133-136,共4页Systems Medicine

摘　　要：目的 分析切开减压椎弓根内固定治疗急性脊柱创伤患者的临床效果。方法 选取2021年4月—2022年7月山东健康集团枣庄医院收治的70例急性脊柱创伤患者,以随机数表法将其分为对照组和观察组,各35例。对照组实施常规手术方案,观察组实施切开减压椎弓根内固定方案,对比分析两种手术疗效。结果相较于对照组(77.14%)的治疗优良率,观察组(94.26%)较高,差异有统计学意义(χ^(2)=4.200,P<0.05)。相较于对照组,观察组临床指标结果更优,手术时间和住院时间更短,术后VAS评分更低,术后生活质量各项评分更高,差异有统计学意义(P<0.05)。结论 切开减压椎弓根内固定用于急性脊柱创伤的治疗,对改善关节功能,恢复其正常的生理性结构具有较高价值,且恢复快,住院时间短,术后疼痛轻,值得应用。Objective To analyze the clinical effect of incisional decompression and pedicle internal fixation in the treatment of patients with acute spinal trauma.Methods 70 patients with acute spinal trauma admitted to Zaozhuang Hospital of Shandong Health Group from April 2021 to July 2022 were selected,and divide them into a control group and an observation group using random number table method,with 35 patients in each group.The control group was treated with a conventional surgical plan,while the observation group was treated with an open decompression and pedicle internal fixation plan.The therapeutic effects of the two surgeries were compared and analyzed.Results Com⁃pared to the control group(77.14%),the observation group(94.26%)had a higher rate of treatment excellence,the dif⁃ference was statistically significant(χ2=4.200,P<0.05).Compared to the control group,the observation group had bet⁃ter clinical indicators,shorter surgical and hospitalization times,lower postoperative VAS scores,and higher postopera⁃tive quality of life scores,the difference was statistically significant(P<0.05).Conclusion Incisional decompression and pedicle internal fixation are used in the treatment of acute spinal trauma.It has high value in improving joint func⁃tion and restoring normal physiological results.It also has fast recovery,short hospitalization time and mild postopera⁃tive pain,so it is worthy of application.

关 键 词：切开减压椎弓根内固定 急性脊柱创伤 临床疗效 术后康复 术后疼痛 

分 类 号：R4[医药卫生—临床医学]