后路手术内固定融合术在脊柱骨折患者中的应用效果  

Application Effect of Posterior Surgical Internal Fixation and Fusion Surgery in Patients with Spinal Fractures

作　　者：余立钦 YU Liqin(Baiyun Hospital Affiliated to Guizhou Medical University,Guiyang 550000,China)

机构地区：[1]贵州医科大学附属白云医院,贵州贵阳550000

出　　处：《中外医学研究》2024年第13期141-144,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨后路手术内固定融合术在脊柱骨折患者中的应用效果。方法:选取2022年1月—2023年1月贵州医科大学附属白云医院收治的86例脊柱骨折患者作为研究对象,按随机数表法将患者分为对照组和观察组,各43例。对照组行经皮穿刺椎体成形术(PVP)治疗,观察组行后路手术内固定融合术治疗。比较两组手术情况、椎体恢复情况、脊柱功能、疼痛评分、创伤应激指标及术后并发症。结果:观察组手术时间、切口长度、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);观察组术后3个月椎体前缘高度百分比、椎体后缘高度百分比高于对照组,Cobb角小于对照组,差异有统计学意义(P<0.05);观察组术后3个月Oswestry功能障碍指数(ODI)评分、视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05);观察组术后7 d皮质醇(Cor)、肾上腺皮质激素(ACTH)、肿瘤坏死因子-α(TNF-α)水平低于对照组,术后并发症少于对照组,差异有统计学意义(P<0.05)。结论:后路手术内固定融合术在脊柱骨折中疗效更佳,可减轻患者手术创伤,降低应激反应,加快脊柱功能恢复,且并发症风险低。Objective:To explore the application effect of posterior surgical internal fixation and fusion surgery in patients with spinal fractures.Method:A total of 86 patients with spinal fractures who admitted to Baiyun Hospital Affiliated to Guizhou Medical University from January 2022 to January 2023 were selected as the research objects,the patients were divided into the control group and the observation group according to the random number table method,with 43 cases in each group.The control group was treated with percutaneous vertebro plasty(PVP),and the observation group was treated with posterior surgical internal fixation and fusion surgery.The surgical conditions,vertebral recovery,spinal function,pain scores,trauma stress indicators and postoperative complications between two groups were compared.Result:The surgical time,incision length and hospital stay in the observation group were shorter than those in the control group,the intraoperative bleeding was less than that in the control group,and the differences were statistically significant(P<0.05);the percentage of anterior vertebral height and posterior vertebral height in the observation group at 3 months after operation were higher than those in the control group,and the Cobb angle was smaller than that in the control group,the differences were statistically significant(P<0.05);the Oswestry dysfunction index(ODI)score and visual analogue scale(VAS)score of the observation group at 3 months after operation were lower than those of the control group,and the differences were statistically significant(P<0.05);the levels of cortisol(Cor),adrenocorticotropic hormone(ACTH)and tumor necrosis factor-α(TNF-α)in the observation group at 7 d after operation were lower than those in the control group,and the incidence of postoperative complications was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Posterior surgical internal fixation and fusion surgery is more effective in spinal fractures,reducing surgical traum

关 键 词：脊柱骨折 后路手术内固定融合术 脊柱功能 术后并发症 疼痛 

分 类 号：R687.3[医药卫生—骨科学]