微创脊柱创伤手术治疗脊柱胸腰椎段骨折的效果分析  

Analysis of the Effect of Minimally Invasive Spinal Trauma Surgery on Thoracolumbar Fracture of the Spine

作　　者：张防 韩修福 ZHANG Fang;HAN Xiufu(Department of Orthopedics,Shanxian Central Hospital,Heze,Shandong,274300,China)

机构地区：[1]单县中心医院骨科,山东菏泽274300

出　　处：《中外医疗》2024年第27期54-57,共4页China & Foreign Medical Treatment

摘　　要：目的探讨在脊柱胸腰椎段骨折患者的治疗中采取微创脊柱创伤手术的效果。方法回顾性选取2022年6月—2024年2月单县中心医院骨科收治的70例脊柱胸腰椎段骨折患者的临床资料,按照手术方式不同分为两组,各35例。对照组采取传统开放手术,研究组采取微创脊柱创伤手术。对比两组手术指标、脊柱功能相关指标、腰椎功能评分及腰椎功能障碍指数、并发症发生率。结果研究组切口长度、术中出血量、手术时间、术后引流量、住院时间均少于对照组,差异有统计学意义(P均<0.05)。研究组伤椎前高压缩比高于对照组,Cobb角低于对照组,差异有统计学意义(P均<0.05)。研究组腰椎功能障碍指数低于对照组,日本骨科协会评估量表评分高于对照组,差异有统计学意义(P均<0.05)。研究组并发症发生率为5.71%(2/35),低于对照组的25.71%(9/35),差异有统计学意义(χ^(2)=5.285,P<0.05)。结论对脊柱胸腰椎段骨折患者采取微创脊柱创伤手术可减少并发症发生率,减轻患者因疾病与手术带来的疼痛感,加快患者术后腰椎功能的恢复,缩短治疗时间。Objective To explore the effect of minimally invasive spinal trauma surgery in the treatment of patients with thoracolumbar spine fracture.Methods The clinical data of 70 patients with thoracolumbar spine fractures admitted to the Department of Orthopaedics of Shanxian Central Hospital from June 2022 to February 2024 were retrospectively selected and divided into two groups according to different surgical methods,with 35 cases in each group.The control group was treated with traditional open surgery,and the study group was treated with minimally invasive spinal trauma surgery.The surgical indicators,spinal function related indicators,lumbar function score,lumbar dysfunction index and complication rate were compared between the two groups.Results The incision length,intraoperative blood loss,operation time,postoperative drainage volume and hospitalization time in the study group were less than those in the control group,and the differences were statistically significant(all P<0.05).The compression ratio of anterior vertebral height in the study group was higher than that in the control group,and the Cobb angle was lower than that in the control group,and the differences were statistically significant(both P<0.05).The Oswestry Disability Index of the study group was lower than that of the control group,and the Japanese Orthopaedic Association score was higher than that of the control group,and the differences were statistically significant(both P<0.05).The incidence of complications in the study group was 5.71%(2/35),which was lower than 25.71%(9/35)in the control group,and the difference was statistically significant(χ^(2)=5.285,P<0.05).Conclusion Minimally invasive spinal trauma surgery for patients with thoracolumbar fracture can reduce the incidence of complications,relieve the pain caused by disease and surgery,accelerate the recovery of lumbar function,and shorten the treatment time.

关 键 词：脊柱胸腰椎段骨折 微创脊柱创伤手术 腰椎功能 并发症 

分 类 号：R687.3[医药卫生—骨科学]