伤椎置钉术治疗胸腰椎骨折的临床分析

Pedicle Screws in the Treatment of Clinical Observation of Fracture of Thoracic and Lumbar Vertebrae

目的分析、研究伤椎置钉术在治疗胸腰椎骨折中的治疗效果。方法随机选取该院150例患有胸腰椎骨折的患者,严格控制单一变量,将患者分为对照组和伤椎置钉术组,对照组的患者进行传统的上下邻椎置钉术的疗法,胸腰椎骨折组采用伤椎置钉术的疗法,对比、分析两组患者在手术中和手术后的治疗情况、恢复情况。结果对照组的手术时间（143.2±6.3）min明显长于伤椎置钉术组的手术时间（125.6±5.7）min,对照组的手术切口长度（12.6±3.7）cm长于伤椎置钉术组的手术切口长度（12.2±3.2）cm,手术中出血量（11.5±3.6）mL多于伤椎置钉术组的手术出血量（3.9±1.5）,手术后住院时间（8.3±4.5）h长于伤椎置钉术组的术后住院时间（4.9±3.5）h.在出院持续恢复过程中,伤椎置钉术组患者的伤椎高度,逐步得到恢复,患者手术切口处均Ⅰ期愈合,通过3~6个月的时间,患者的骨折均愈合,并且没有出现感染等术后并发症,伤椎的压缩畸形也得到有效的矫正。并且在之后的检查中,已恢复的伤椎体高度没有出现明显的回缩,矫正角度没有出现明显的丢失。结论相对比传统的上下相邻椎置钉术,可以清楚的看到伤椎置钉术在进行胸腰椎骨折的治疗时,手术切口面积小,手术用时相对较短,手术后恢复显著。使用伤椎置钉术治疗胸腰椎骨折是科学、有效地治疗方法,注重手术操作要点,可以大大的提高术后的恢复程度和矫正效果。

ObjectiveAnalysis, study the clinical results of pedicle screws in the treatment of thoracolumbar vertebral fracture. Methods Randomly selected in our hospital 150 patients with thoracolumbar fractures, strict control of a single variable, the patients were divided into the control group and the pedicle nailing group, control group patients were the traditional up and down adjacent pedicle screw surgery therapy, group with vertebral pedicle screw surgery therapy of thoracic and lumbar vertebra fracture, contrast, analysis of two groups of patients in the treatment of operation and after operation, the recovery situation.Results The operation time of the control group （143.2 ＋ 6.3） min was significantly longer than the pedicle surgical time nailing group （125.6 ＋ 5.7） min, the length of incision in the control group （12.6 ＋ 3.7） cm longer than the pedicle of incision length nailing group （12.2 ＋ 3.2） cm, the amount of bleeding during operation （11.5 ＋ 3.6） ml than pedicle nailing group the amount of hemorrhage （3.9 ＋ 1.5）, the time of hospitalization after operation （8.3 ＋ 4.5） the duration of hospitalization was h longer than the pedicle nailing group after operation （4.9 ＋ 3.5） h. In the hospital sustained recovery process, vertebral pedicle screw surgery patients in vertebral height,Patients with operation incision healed primarily, by three to six months, patients with fractures were healed, and no postoperative complications such as infection, gradually recovered, the injury vertebral compression deformation also get effective correction. And after the inspection, has been the restoration of vertebral height does not appear obvious retraction, no obvious loss of correction angle.Conclusions Relative than traditional up and down adjacent vertebral placement, can see the vertebral pedicle screw technique in the treatment of thoracic and lumbar fracture when clear, operation incision operation with small area, relatively short, recovered significantly after operation. The use of pedicle screws in treatment of fractures of the thoracic lumbar is scientific, effective treatment method, pay attention to the operation key points of operation, can greatly improve the degree of recovery after operation and orthodontic effect.