经皮微创椎弓根钉棒内固定治疗胸腰椎骨折的临床分析

Clinical Analysis of Minimally Invasive Percutaneous Pedicle Screw Fixation for Thoracolumbar Fractures

目的:探讨经皮微创椎弓根钉棒内固定治疗胸腰椎骨折的临床疗效。方法:63例胸腰椎骨折患者随机分配的原则分为对照组(n=31)和观察组(n=32)。对照组行传统开放椎弓根螺钉内固定手术治疗,观察组行经皮微创椎弓根钉棒内固定治疗,比较两组临床疗效。结果:两组手术时间无明显差异(P>0.05);观察组术中出血量、术后住院时间和疼痛评分均明显优于对照组(P<0.05);观察组的并发症发生率明显少于对照组(P<0.05)。结论:经皮微创椎弓根钉棒内固定治疗胸腰椎骨折的临床疗效较为显著,缓解患者术后疼痛感,缩短术后住院时间,并发症少。

Objective ：To investigate the clinical effect of minimally invasive percutaneous pedicle screw fixation in the treatment of tho-racolumbar fractures. Method s = 63 patients with thoracolumbar fractures were randomly divided into control group （m = 31） and observation group （n = 32）. The control group was treated with traditional open pedicle screw fixation, while the observation group was treated with min-imally invasive percutaneous pedicle screw fixation. The clinical efficacy of the two grouus was compared. Results ： There was no significant difference in operation time between the two groups （ P 〉 0. 05） ; the amount of intraoperative bleeding, postoperative hospitalization time and pain scores were significantly better than the control group （ P 〈 0. 05） ; the incidence of complications of observation group were signifi-cantly less than the control group （ P 〈 0. 05）. Conclusion ： Minimally invasive percutaneous pedicle screw fixation in the treatcolumbar fractures has a significant clinical effect,ease the pain of patients with postoperative pain, shorten the length of hocomplications.