经椎旁肌间隙入路骨折切开复位内固定术治疗胸腰椎骨折的临床疗效研究  

Clinical Efficacy of Open Reduction and Internal Fixation for Thoracolumbar Vertebral Fractures through the Paravertebral Muscle Gap Approach

作　　者：朱健荣 Zhu Jianrong(Emergency Department,Pingshan District People’s Hospital,Shenzhen,Guangdong 518118)

机构地区：[1]深圳市坪山区人民医院急诊科,广东深圳518118

出　　处：《科技与健康》2024年第9期65-68,共4页Technology and Health

摘　　要：观察经椎旁肌间隙入路骨折切开复位内固定术治疗胸腰椎骨折的临床疗效。选取深圳市坪山区人民医院2015年9月1日—2022年8月1日收治的胸腰椎骨折接受手术治疗并接受随访的85例患者开展研究,根据患者接受手术治疗方案的不同对其进行分组,其中以经椎旁肌间隙入路骨折切开复位内固定术治疗的45例患者为研究组,以后正中入路骨折切开复位内固定术治疗的40例患者为对照组,比较两组患者围手术期指标。采用Oswestry功能障碍指数(ODI)、腰背部肌肉疼痛VAS评分及生活质量评分评估两组患者术前和术后1周、1个月、3个月、半年、1年的胸腰椎功能改变情况,比较两组患者临床疗效和并发症发生情况。研究发现,行胸腰椎骨折切开复位内固定术治疗的患者中,以经椎旁肌间隙入路治疗,可显著缩短手术时间,减少术中出血量及住院费用,改善患者胸腰椎功能,减轻腰背肌肉疼痛的严重程度,降低围手术期并发症的发生率,优化治疗效果。To observe the clinical efficacy of the transparavertebral muscle space approach in the treatment of thoracolumbar fractures,open reduction and internal fixation.A total of 85 patients with thoracolumbar fracture who were treated by surgery and followed up from September 1,2015 to August 1,2022 in Pingshan District People’s Hospital of Shenzhen were selected for the study,and they were grouped according to the different surgical treatment regimens,among which 45 patients were treated by open reduction and internal fixation of fractures through the paravertebral muscle space approach as the study group,and 40 patients were treated with open reduction and internal fixation of fractures in the postmedian approach as the control group.The perioperative indexes were compared,and the Oswestry dysfunction index(ODI),low back muscle pain VAS score and quality of life score were used to evaluate the changes in thoracolumbar spine function before and one week,one month,three months,six months and one year after operation,and the occurrence of perioperative complications was counted to determine the treatment effect.It was found that in patients treated with open reduction and internal fixation of thoracolumbar fractures,the transparavertebral muscle space approach could significantly shorten the operation time,reduce the amount of intraoperative bleeding and hospitalization costs,improve the function of the thoracolumbar spine,reduce the severity of low back muscle pain,reduce the incidence of perioperative complications,and improve the treatment effect.

关 键 词：经椎旁肌间隙入路 胸腰椎骨折 切开复位 内固定术 功能障碍 

分 类 号：R687.3[医药卫生—骨科学]