经皮微创脊柱后路钉棒系统固定治疗胸腰椎骨折近远期效果观察  

Short and Long Term Curative Effect of Percutaneous Minimally Invasive Posterior Spine Nail Rod System Fixation on Thoracolumbar Fracture

作　　者：倪建平[1] 周国柱[1] 顾军 黄亮[1] 包文龙 魏斐 NI Jianping;ZHOU Guozhu;GU Jun;HUANG Liang;BAO Wenlong;WEI Fei(Department of orthopedics,Jingjiang hospital of TCM,Jingjiang,Jiangsu 214500)

机构地区：[1]靖江市中医院骨科,江苏靖江214500

出　　处：《中国伤残医学》2024年第9期5-8,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:观察胸腰椎骨折患者接受经皮微创脊柱后路钉棒系统固定治疗的近远期疗效。方法:选择2018年2月-2022年1月我院70例胸腰椎骨折患者作为研究对象,根据随机数字表法分为对照组和观察组,每组35例。对照组采用常规切开椎弓根内固定治疗,观察组采用经皮微创脊柱后路钉棒系统固定治疗,对比2组各项手术指标、术后恢复情况及并发症发生率。结果:术后观察组患者的手术时间、术中出血量、住院时间、术后引流量、术后负重时间、骨折愈合时间均优于对照组,差异均有统计学意义(P<0.05)。术前2组患者的伤椎后凸Cobb角、伤椎前缘高度比值、伤椎后缘高度比值差异无统计学意义(P>0.05),术后3个月及术后1年伤椎后凸Cobb角均降低,伤椎前缘高度比值、伤椎后缘高度均升高,观察组变化比对照组更明显,差异有统计学意义(P<0.05)。术前2组患者ODI、Harris评分、VAS评分差异无统计学意义(P>0.05)。术后7dVAS评分降低,术后3个月及术后1年ODI评分降低,Harris评分升高,观察组变化比对照组更明显,差异有统计学意义(P<0.05)。观察组术后并发症发生率为5.71%,低于对照组的25.71%,差异有统计学意义(P<0.05)。结论:胸腰椎骨折患者接受经皮微创脊柱后路钉棒系统固定治疗,近期疗效和远期疗效均能得到有效保障,对于促进患者腰椎指标及功能改善、缓解疼痛程度及减少并发症发生率均具有显著效果。Objective:To observe the short and long term curative effect of percutaneous minimally invasive posterior spine nail rod system fixation in patients with thoracolumbar fracture.Methods:70 patients with thoracolumbar fracture in our hospital from February 2018 to January 2022 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 35 cases in each group.The control group was treated with conventional open pedicle internal fixation,and the observation group was treated with percutaneous minimally invasive posterior spine nail rod system fixation.The surgical indexes,postoperative recovery and incidence of complications were compared between the two groups.Results:The operation time,intraoperative blood loss,hospital stay,postoperative drainage volume,postoperative weight-bearing time and fracture healing time in the observation group were better than those in the control group,with statistical significance(P<0.05).The Cobb angle,the height ratio of the anterior vertebra and the height ratio of the posterior edge of the injured vertebra showed no statistical significance between the two groups before surgery(P>0.05).The Cobb angle of the injured kyphotic vertebra decreased 3 months and 1 year after surgery,while the height ratio of the anterior vertebra and the height of the posterior edge of the injured vertebra increased,and the changes in the observation group were more obvious than those in the control group,the difference was statistically significant(P<0.05).Before surgery,there was no significant difference in ODI,Harris score and VAS score between two groups(P>0.05).VAS score decreased 7 days after surgery,ODI score decreased 3 months and 1 year after surgery,and Harris score increased,and the changes in observation group were more obvious than those in control group,with statistical significance(P<0.05).The incidence of postoperative complications in the observation group was 5.71%lower than 25.71%in the control group,the

关 键 词：胸腰椎骨折 经皮微创脊柱后路钉棒系统固定 近期疗效 远期疗效 腰椎功能 并发症 

分 类 号：R683.2[医药卫生—骨科学]