小切口椎弓根钉技术对脊柱手术患者临床疗效、术后并发症及预后的作用分析

Effect of Small Incision Pedicle Screw Technique on Clinical Outcome,Postoperative Complications and Prognosis in Patients Undergoing Spinal Surgery

目的脊柱手术患者通过小切口椎弓根钉技术进行治疗,对患者所获得的临床治疗效果以及术后的并发症的概率进行研究,并对患者的预后作用进行评价。方法对该院在2017年1月-2018年1月这一期间内收治的需要实施脊柱手术的患者中随机抽取出60例患者,把他们当成该次研究的研究目标,根据患者检查方法的不同将小组进行划分,划分成观察组和对照组,两组均由30例患者所构成。对照组患者通过常规方法进行治疗,观察组患者则通过小切口椎弓根钉技术进行治疗,对两组患者获得的手术情况、术后并发症概率以及手术前后的VAS评分进行研究比较,对小切口椎弓根钉技术的治疗效果进行评价。结果观察组患者的术中出血量为(100.8±31.29)m L,手术时间为(95.2±48.72)min,术后并发症的发生概率为3.3%(1/30),对照组患者的术后并发症的发生概率为23.3%(7/30),手术时间为(116.2±51.49)min,术中出血量为(305.9±40.6)mL,组间差异有统计学意义(t=8.249 5,7.512 8,χ^2=10.349 8,P<0.05);对照组患者的术前VAS评分为(5.8±2.0)分,术后的VAS评分没有发生较明显的改善,评分为(5.6±2.1)分,观察组患者的术前VAS评分为(5.7±2.3)分,术后的VAS评分发生了明显的改善情况,评分为(2.1±2.2)分。结论脊柱手术患者通过小切口椎弓根钉技术进行治疗,患者可以得到明显的改善作用,手术情况比较良好,术后的并发症的发生概率较低,VAS评分得到显著的改善,值得在临床中推广以及广泛应用。

Objective To treat patients with spinal surgery through small incision pedicle screw technique. To study the clinical treatment effect and the probability of postoperative complications, and to evaluate the prognosis of patients.Methods From January 2017 to January 2018, 60 patients who underwent spinal surgery in our hospital were randomly selected. The cost of the study was based on the patient’s examination method. The patients were divided into observation group and control group, and the two groups were composed of 30 patients. Patients in the control group were treated by conventional methods, and patients in the observation group were treated with small incision pedicle screw technique. The surgical conditions, postoperative complications, and VAS scores before and after surgery were compared between the two groups. The therapeutic effect of the incision pedicle screw technique was evaluated. Results In the observation group, the intraoperative blood loss of the observation group was(100.8±31.29) mL, the operation time was(95.2±48.72) min, the probability of postoperative complications was 3.3%(1/30), the incidence of complications was23.3%(7/30), the operation time was(116.2±51.49) min, and the intraoperative blood loss was(305.9±40.6)mL. The difference between the groups was statistically significant(t =8.249 5,7.512,χ^2=10.349 8,P <0.05). The preoperative VAS score of the control group was(5.8±2.0)points, and the postoperative VAS score(5.6±2.1)points did not improve significantly. The preoperative VAS score of the observation group was(5.7±2.3)points, and the postoperative VAS score showed a significant improvement with a score of(2.1 ±2.2)points. Conclusion Patients with spinal surgery can be treated with small incision pedicle screw technique, which can significantly improve the patients’ condition. Through this technique, the operation is better, the probability of postoperative complications is lower, and the VAS score is significantly improved. It is worthy of clinical promotion and widely use.