经Wiltse肌间隙入路或传统后路手术治疗Frankel E级胸腰椎骨折的疗效对比  

Comparison of efficacy of Frankel Grade E thoracolumbar fracture treated by Wiltse intermuscular approach or conventional posterior approach

作　　者：周彬彬 何海峰[1] Zhou Bin-bin;He Hai-feng(Department of Orthopedics,Anyang People's Hospital,Anyang 450000,Henan,China)

机构地区：[1]安阳市人民医院骨科,河南安阳450000

出　　处：《四川生理科学杂志》2024年第11期2532-2534,共3页

摘　　要：目的:比较Frankel E级胸腰椎骨折经Wiltse肌间隙入路和传统后路手术疗效。方法:收集2021年7月至2023年8月我院106例Frankel E级胸腰椎骨折患者资料,分为对照组和观察组(n=53),分别采取传统后路手术以及Wiltse肌间隙入路手术。术后3 d比较两组的疗效、围术期相关指标,术前1 d、术后3 d和末次随访时使用疼痛视觉模拟评分(Visual analogue scale,VAS)比较两组痛感、使用Oswestry功能障碍指数(Oswestry disability index,ODI)问卷和影像学检查比较功能恢复情况。结果:观察组疗效高于对照组,手术时长、术后下地时间、出血量和术后引流量低于对照组(P<0.05)。两组术后VAS、ODI评分均明显降低,且观察组得分均低于对照组(P<0.05)。两组术后伤椎前缘高度均显著升高,伤椎Cobb角均显著缩小(P<0.05),组间无差异(P>0.05)。结论:Wiltse肌间隙入路手术有效率高,患者术后恢复快,腰椎功能障碍恢复更佳。Objective:To compare the therapeutic effect of Frankel grade E thoracolumbar fracture treated by Wiltse intermuscular approach or conventional posterior approach.Methods:The clinical data from 106 patients with Frankel E thoracolumbar fractures in our hospital from July 2021 to August 2023 were collected and divided into a control group and an observation group(n=53).Traditional posterior surgery and Wiltse intermuscular space approach surgery were performed in each group.The efficacy and perioperative related indicators were compared between the two groups 3 days after surgery.The pain visual analogue scale(VAS)was used to compare the pain sensation of the two groups one day before surgery,three days after surgery,and at the last follow-up.The Oswestry disability index(ODI)questionnaire and imaging examination were used to compare the functional recovery.Results:The efficacy of the observation group was higher than that of the control group,and the operation duration,postoperative ambulation time,blood loss,and postoperative drainage volume were lower than those of the control group(P<0.05).Both groups showed significant reductions in postoperative VAS and ODI scores,and the scores in the observation group were lower than those in the control group(P<0.05).Both groups showed significant increases in the height of the anterior edge of the injured vertebra and significant reductions in the Cobb angle of the injured vertebra(P<0.05),with no significant differences between the groups(P>0.05).Conclusion:Wiltse intermuscular space approach surgery has a high efficacy rate,rapid postoperative recovery,and better recovery of lumbar dysfunction.

关 键 词：胸腰椎骨折 Wiltse肌间隙入路 传统后路 疗效 

分 类 号：R68[医药卫生—骨科学]