微创手术治疗脊柱创伤的临床效果观察

Clinical efficacy observation of minimally invasive surgery in the treatment of spinal trauma patients

目的探讨微创手术治疗脊柱创伤的临床效果。方法选取2016年6月—2017年1月我院收治的30例脊柱创伤患者作为研究对象,按照手术方法的不同分为观察组和对照组各15例。对照组采用传统开放手术治疗,观察组采用微创手术治疗。记录2组患者术中出血量、手术时间、活动时间、住院时间,采用疼痛视觉模拟VAS评分法评价2组患者术后疼痛程度,观察并发症发生情况,比较2组治疗效果。结果观察组的术中出血量明显少于对照组,手术时间、活动时间、住院时间均明显短于对照组,VAS评分明显低于对照组,差异显著(P<0.05)。观察组临床总有效率(100.0%),明显高于对照组(73.3%),术后并发症发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论对于脊柱创伤患者采用微创手术治疗能明显缓解患者的疼痛程度,且术后恢复快,并发症少,值得临床推广。

Objective To investigate the clinical effect of minimally invasive surgery in the treatment of spinal trauma.Methods 30 cases of patients with spinal trauma treated in our hospital from June 2016 to January 2017 were selected,were divided into observation group and control group according to different surgical methods,15 patients in each group. The control group was treated with traditional open surgery,the observation group was treated with minimally invasive surgery. The intraoperative blood loss,operation time,time of operation and length of hospitalization were recorded,the degree of postoperative pain was evaluated by visual analogue VAS score,The incidence of complications was observed and the therapeutic effect was compared.Results The intraoperative blood loss in the observation group was significantly lower than that in the control group;The time of operation,the time of operation and the time of hospitalization were significantly shorter than those of the control group（P〈0.05）;VAS score was significantly better than the control group,the difference was significant（P〈0.05）. The clinical effective rate was100.0% in the observation group and higher than that 73.3% in the control group,the incidence of postoperative complications was significantly lower than that of the control group（P〈0.05）.Conclusion The use of minimally invasive surgery in patients with spinal trauma can relieve the pain of patients significantly,rapid recovery after surgery,less complications,worthy of clinical promotion.