微创经皮与传统开放椎弓根螺钉内固定治疗胸腰椎骨折

Treatment of thoracolumbar fractures with minimally invasive percutaneous pedicle screw fixation

目的：讨论分析微创经皮与传统开放椎弓根螺钉内固定治疗胸腰椎骨折的临床效果.方法：选择2015年11月～2016年11月于我院就诊的胸腰椎骨折患者74例,所有患者按照抽签法随机分配为观察组与对照组2组,2组患者均有37例患者.观察组患者选择微创经皮椎弓根螺钉内固定术进行治疗,对照组患者选择传统开放椎弓根螺钉内固定术进行治疗,分析对比2组患者的者围手术期相关情况.结果：根据对比结果显示,2组患者手术时间对比并无明显差异（P＞0.05）,但是观察组患者的切口长度显著短于对照组患者（P＜0.05）,术中出血量、术后引流量显著少于对照组（P＜0.05）,住院时显著间短于对照组（P＜0.05）.结论：微创经皮椎弓根螺钉内固定治疗胸腰椎骨折能够有效减少患者的术中出血量、术后引流量,缩短患者的住院时间,值得临床推广与应用.

Objective： Objective to discuss the clinical effect of minimally invasive pereutaneous pedicle screw fixation for thoracolum- bar fractures. Method： From November 2015 to November 2016, 74 patients with thoracolumbar fractures in our hospital were selected. All patients were randomly divided into the study group and the reference group according to the drawing method. The patients in the two groups had a total of 37 patients. The study group patients after minimally invasive percutaneous pedicle screw fixation in the treatment, the reference group of patients choose the traditional open pedicle screw fixation in treatment, comparative analysis of two groups of pa- tients with peri operation period related situation. Result： According to the comparison Results show that the difference between the two groups of patients with operative time （P 〉 0.05 ）, but there is no comparison of patients in the study group, the incision length was signif- icantly shorter than the reference group of patients （ P 〈 0.05）, intraoperative hemorrhage volume and postoperative drainage volume was significantly less than that of the reference group （P 〈 0.05）, was significantly shorter in the room the reference group （ P 〈 0.05 ）. Conclusion： Minimally invasive pereutaneous pedicle screw fixation in the treatment of thoracolumbar fractures can effectively reduce the amount of intraoperative bleeding, postoperative drainage, shorten the length of hospital stay, which is worthy of clinical application and promotion.