经椎旁肌间隙入路治疗中青年胸腰椎骨折的临床疗效研究

Study on Clinical Curative Effect of Paraspinal Muscle Approach in the Treatment of Thoracolumbar Fractures in Young and Middle-Aged Patients

目的探讨经椎旁肌间隙入路治疗中青年胸腰椎骨折的临床疗效。方法选取2015年1月至2018年1月我院收治的60例胸腰椎骨折中青年患者,随机分为对照组和实验组,各30例。对照组采用传统后路正中入路切开撑开复位钉棒内固定术治疗,实验组采用经椎旁肌间隙入路撑开复位钉棒内固定术治疗。比较两组患者的治疗效果。结果实验组的手术时间、术中出血量和术后引流量明显优于对照组(P <0.05)。术后,两组患者的VAS评分均低于术前(P <0.05),且实验组的VAS评分明显低于对照组(P <0.05)。结论经椎旁肌间隙入路治疗中青年胸腰椎骨折具有创伤小、出血少、恢复快等优点,值得临床推广。

Objective To explore the clinical curative effect of paraspinal muscle approach in the treatment of thoracolumbar fractures in young and middle-aged patients. Methods 60 cases of young and middle-aged patients with thoracolumbar fractures admitted to our hospital from January 2015 to January 2018 were selected and randomly divided into control group and experimental group, with 30 cases in each group. The control group received open reduction and screw rod internal fixation through traditional posterior approach, while the experimental group received screw rod internal fixation through paraspinous muscle approach. The treatment effect was compared between the two groups. Results The operation time, intraoperative blood loss and postoperative drainage volume of the experimental group were significantly better than those of the control group（P 0.05）. After operation, the VAS scores of both groups were lower than those before operation（P 0.05）, and the VAS score of the experimental group was significantly lower than that of the control group（P 0.05）.Conclusions Paraspinal muscle approach in the treatment of thoracolumbar fractures in young and middle-aged patients has the advantages of less trauma, less blood loss and faster recovery, which is worthy of clinical promotion.