椎弓根内固定术联合椎体成形术对胸腰椎爆裂性骨折患者的影响  

Effect of Pedicle Internal Fixation Surgery Combined with Vertebroplasty on Patients with Thoracolumbar Burst Fractures

作　　者：张文远[1] 千建荣[1] 陈艳 王奇 安志军[1] ZHANG Wenyuan;QIAN Jianrong;CHEN Yan;WANG Qi;AN Zhijun(Beijing Fengtai Hospital,Beijing 100070,China;不详)

机构地区：[1]北京丰台医院,北京100070

出　　处：《中外医学研究》2024年第32期154-157,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析椎弓根内固定术联合椎体成形术对胸腰椎爆裂性骨折患者的影响。方法:选取2020年8月-2022年8月北京丰台医院收治的82例胸腰椎爆裂性骨折患者。根据随机数表法将其分为单一组和联合组,各41例。单一组给予椎弓根内固定术,联合组给予椎弓根内固定术联合椎体成形术。比较两组围手术期指标,术前、术后1周、术后1个月、术后6个月疼痛程度,术前、术后1个月、术后6个月功能障碍,影像学结果,并发症。结果:联合组手术时间长于单一组,住院天数短于单一组,差异有统计学意义(P<0.05)。术后1周,1个月、6个月,两组视觉模拟评分法(VAS)评分均低于术前,联合组VAS评分均低于单一组,差异有统计学意义(P<0.05)。术后1个月、6个月,两组Oswestry功能障碍指数评分(ODI)评分均低于术前,联合组ODI评分低于单一组,差异有统计学意义(P<0.05)。术后6个月,两组椎体前缘高度升高,Cobb's角明显降低,差异有统计学意义(P<0.05);术后6个月,两组椎体前缘高度、Cobb's角、椎体前缘矫正丢失度、Cobb's角矫正丢失度比较,差异无统计学意义(P>0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:椎弓根内固定术联合椎体成形术治疗胸腰椎爆裂性骨折,有助于患者快速出院,改善脊柱功能障碍,缓解疼痛,同时能改善患者影像学指标,具有一定安全性。Objective:To analyze the effect of pedicle internal fixation surgery combined with vertebroplasty on patients with thoracolumbar burst fractures.Method:A total of 82 patients with thoracolumbar burst fracture treated in Beijing Fengtai Hospital from August 2020 to August 2022 were selected.According to the method of random number table,the patients were divided into single group and combined group,with 41 cases in each group.The single group was given pedicle internal fixation surgery,and the combined group was given pedicle internal fixation surgery combined with vertebroplasty.Perioperative indexes,pain degree before surgery,1 week after surgery,1 month after surgery,6 months after surgery,dysfunction before surgery,1 month after surgery,6 months after surgery,imaging results,complications were compared between the two groups.Result:The operation time of the combined group was longer than that of the single group,and the hospital stay was shorter than that of the single group,the differences were statistically significant(P<0.05).At 1 week,1 month and 6 months after surgery,the visual analogue scale(VAS)scores of the two groups were lower than those before surgery,and the VAS scores of the combined group were lower than those of the single group,the differences were statistically significant(P<0.05).At 1 month and 6 months after surgery,the Oswestry disability index(ODI)scores of the two groups were lower than those before surgery,and the ODI scores of the combined group were lower than those of the single group,the differences were statistically significant(P<0.05).Six months after surgery,the vertebral anterior margin height increased and Cobb's angle decreased significantly between the two groups,the difference was statistically significant(P<0.05).Six months after surgery,there were no significant differences in vertebral anterior margin height,Cobb's angle,vertebral anterior margin correction loss and Cobb's angle correction loss between the two groups(P>0.05).There was no significant difference in the inc

关 键 词：胸腰椎爆裂性骨折 椎体成形术 椎弓根内固定术 疼痛 并发症 

分 类 号：R687.3[医药卫生—骨科学]