腰椎骨折切开复位内固定治疗胸腰椎骨折的临床疗效及对患者椎体形态、创伤因子的影响  

Clinical Effect of Open Reduction and Internal Fixation of Lumbar Fracture in the Treatment of Thoracolumbar Fracture and Its Influence on Vertebral Morphology and Trauma Factors of Patients

作　　者：吴显焱 龙安雄 顾学文 WU Xianyan;LONG Anxiong;GU Xuewen(Department of Orthopedics,Liping County People's Hospital,Liping,Guizhou,557300,China)

机构地区：[1]黎平县人民医院骨科,贵州黎平557300

出　　处：《中外医疗》2025年第6期46-50,共5页China & Foreign Medical Treatment

摘　　要：目的探究腰椎骨折切开复位内固定治疗胸腰椎骨折的疗效及对患者椎体形态、创伤因子的影响。方法研究样本随机选取,研究对象为2022年5月—2023年5月黎平县人民医院收治的100例胸腰椎骨折的患者,不同手术方法为分组依据,命名为对照组与观察组,各50例。对照组行经皮钉棒内固定术治疗,观察组行新型腰椎骨折切开复位内固定术治疗,比较两组的临床疗效、椎体形态、创伤因子水平、临床指标。结果在治疗总有效率方面,观察组为98.00%(49/50),高于对照组的84.00%(42/50),差异有统计学意义(χ^(2)=4.396,P<0.05)。术后,伤椎前缘相对高度、矢状位指数指标显示,观察组均高于对照组,脊柱后凸Cobb角低于对照组,差异均有统计学意义(P均<0.05)。术后,两组创伤因子水平均高于术前,手术时间、切口长度、术中出血量表示观察组更优于对照组,差异均有统计学意义(P均<0.05)。结论腰椎骨折切开复位内固定术治疗胸腰椎骨折患者效果显著,可改善椎体形态和临床指标。Objective To explore the curative effect of open reduction and internal fixation of lumbar fracture in the treatment of thoracolumbar fracture and its influence on vertebral morphology and traumatic factors.Methods The research samples were randomly selected.The subjects were 100 patients with thoracolumbar fractures admitted to Liping County People's Hospital from May 2022 to May 2023.The different surgical methods were grouped according to the grouping,named the control group and the observation group,with 50 cases in each group.The control group was treated with percutaneous screw-rod internal fixation,and the observation group was treated with new open reduction and internal fixation of lumbar fracture.The clinical efficacy,vertebral morphology,trauma factor level and clinical indicators of the two groups were compared.Results In terms of the total effective rate of treatment,the observation group was 98.00%(49/50),which was higher than 84.00%(42/50)of the control group,and the difference was statistically significant(χ^(2)=4.396,P<0.05).After operation,the relative height of the anterior edge of the injured vertebra and the sagittal index showed that the observation group was higher than the control group,and the Cobb angle of kyphosis was lower than that of the control group,the differences were statistically significant(all P<0.05).After operation,the levels of trauma factors in the two groups were higher than those before operation,the operation time,incision length and intraoperative blood loss showed that the observation group was better than the control group,and the differences were statistically significant(all P<0.05).Conclusion Open reduction and internal fixation of lumbar fractures is effective in the treatment of patients with thoracolumbar fractures,which can improve vertebral morphology and clinical indicators.

关 键 词：经肌间隙腰椎骨折切开复位内固定 经皮钉棒内固定术 胸腰椎骨折 椎体形态 创伤因子 

分 类 号：R683[医药卫生—骨科学]