微创经皮椎弓根螺钉系统对降低胸腰段椎体骨折患者术后感染影响分析

Effect of minimally invasive percutaneous pedicle screw system on postoperative infection in patients with thoracolumbar vertebral fracture

目的探析胸腰段椎体骨折患者应用微创经皮椎弓根螺钉系统治疗对术后感染的影响。方法将本院2016年3月至2017年9月期间接受手术治疗的80例胸腰段椎体骨折患者选为研究对象,依据硬币法分为两组,即传统组(n=40)与微创组(n=40)。传统组患者给予传统开放手术治疗,微创组患者给予微创经皮椎弓根螺钉系统治疗。对两组患者手术情况、术后感染发生率及不良预后情况予以比较。结果微创组胸腰段椎体骨折患者手术时间、术中出血量、术后引流量与传统组比较差异具有统计学意义(P<0.05);微创组患者感染发生率、不良预后发生率低于传统组患者,两组比较差异具有统计学意义(P<0.05)。结论胸腰段椎体骨折患者应用微创经皮椎弓根螺钉系统治疗的效果显著,能降低术后感染发生率,有利于术后患者健康的尽早恢复,值得应用。

Objective To investigate the effect of minimally invasive percutaneous pedicle screw system on postoperative infection in patients with thoracolumbar vertebral fractures. Methods 80 patients with thoracolumbar vertebral fractures who underwent surgery from March 2016 to September 2017 were selected as observation subjects. According to the coin method, they were divided into two groups, named the traditional group(n=40) and minimally invasive group(n=40). Patients in the traditional group were treated with conventional open surgery, patients in the minimally invasive group were treated with minimally invasive percutaneous pedicle screw system. The surgical status, postoperative infection rate and poor prognosis of the two groups were compared. Results The operation time, intraoperative blood loss, and postoperative drainage volume of the patients with minimally invasive thoracolumbar vertebral fractures were significantly different from those of the traditional group(P<0.05). The incidence of infection and poor prognosis in the minimally invasive group were lower than those in the traditional group(P<0.05). Conclusion The treatment of patients with thoracolumbar vertebral fractures with minimally invasive percutaneous pedicle screw system is relatively effective, which not only reduces the probability of postoperative infection, but also facilitates the recovery of patients’ health as soon as possible after surgery.