椎弓根钉置入内固定治疗胸腰椎骨折的应用与可行性研究

Application and feasibility of pedicle screw fixation for thoracolumbar fractures

目的:分析椎弓根钉置入内固定治疗胸腰椎骨折的应用与可行性。方法:选择就诊的胸腰椎骨折患者90例作为研究对象,采取计算机随机分组方案,其中常规组与试验组患者均45例,对两组患者均采取椎弓根钉置入内固定治疗方案,其中常规组采取传统开放手术治疗,试验组采取微创手术治疗,对比两组患者的手术治疗效果。结果:试验组患者在切口长度、手术耗时、术中出血量、术后引流量、住院时间、离床时间方面均明显优于常规组,差异有统计学意义(P<0.05);两组患者术前与术后的椎体前缘高度、伤椎前缘高度百分比、后凸Cobb角均无明显的差异,均获得了有效的恢复,差异无统计学意义(P>0.05);试验组患者术后疼痛程度明显优于常规组,差异有统计学意义(P<0.05)。结论:对胸腰椎骨折患者采取微创经皮触摸置入椎弓根钉内固定技术的应用效果显著,具有出血少、疼痛感轻、切口小、住院时间短等优势,值得推荐采纳。

Objective Analysis of pedicle screw fixation for thoracolumbar fractures. Method The application and feasibility of thoracolumbar for treatment of fractures in patients with 90 cases as the research object,adopt computer random grouping scheme,the normal group and experimental group were occupied in 45 cases. Two groups of patients were treated by pedicle screw fixation for the treatment of implantation,the conventional group were treated with traditional open surgery,the experimental group adopted minimally invasive surgical treatment,surgical treatment of the two groups were compared. Results the experimental group in the length of incision,operative time,intraoperative bleeding,postoperative drainage,hospitalization time,get out of bed time were significantly better than the control group（P〈0. 05）; two groups of patients before surgery and postoperative anterior vertebral height,the percentage of damaged vertebral height,kyphosis Cobb angle showed no obvious differences were obtained The effective recovery（P〈0. 05）; the experimental group patients with postoperative pain was significantly better than the conventional group（P〈0. 05）. Conclusion For thoracolumbar fractures are treated by minimally invasive percutaneous implantation by application of touch pedicle screw fixation technique significantly,with less bleeding,less pain,small incision,short hospitalization time and other advantages. It is recommended to adopt.