后路长节段经皮置钉内固定术治疗强直性脊柱炎并胸腰椎骨折的临床效果

Clinical Effect of Posterior Long Segment Percutaneous Nailing for Ankylosing Spondylitis and Thoracolumbar Fractures

目的研究后路长节段经皮置钉内固定术治疗强直性脊柱炎并胸腰椎骨折的临床效果。方法回顾性分析该院骨科在2016年4月—2019年4月期间收治的39例强直性脊柱炎并胸腰椎骨折的患者为研究对象,根据治疗方式的不同将该39例患者分为A、B两个组别,A组有患者19例,B组有患者20例。A组患者行后路长节段切开复位内固定术治疗,B组患者行后路长节段经皮置钉内固定术治疗,观察比较两组患者在术中、术后的各项指标,以及两组患者的临床疗效。结果经过不同方式治疗之后,A、B两组患者的治疗优良率分别为89.47%和90.00%,数据差异无统计学意义(χ2=0.000,P=0.990),但B组患者在手术时间、术中出血量以及术后下床时间等3项指标上均显著优于A组,数据差异有统计学意义(t=2.546、2.657、2.456,P<0.05)。结论后路长节段切开复位内固定术以及后路长节段经皮置钉内固定术两种术式在强直性脊柱炎并胸腰椎骨折患者的治疗中均有显著治疗效果,但后者能够显著缩短患者的手术时间、术中出血量以及术后下床时间,效果显著,值得临床推广应用。

Objective To study the clinical effect of long-segment posterior percutaneous nailing for ankylosing spondylitis and thoracolumbar fractures.Methods A retrospective analysis was performed on 39 patients with ankylosing spondylitis and thoracolumbar fractures treated by the orthopaedic department from April 2016 to April 2019.The 39 patients were divided into A and B according to different treatment methods.There were 19 patients in group B and 20 patients in group B.Patients in group A were treated with posterior long segment incision and reduction and internal fixation,and patients in group B were treated with posterior long segment percutaneous nailing and internal fixation.The intraoperative and postoperative indicators of the two groups were observed and compared,and the clinical efficacy of the two groups of patients.Results After different treatments,the excellent and good treatment rates of the two groups were 89.47% and 90.00%,respectively,with in data,the difference was statistically significant(χ2=0.000,P=0.990),but the patients in group B had bleeding during the operation and during the operation.The three indexes,such as the amount and the time to get out of bed,were significantly better than those in group A.The data were statistically significantly different(t=2.546,2.657,2.456,P<0.05).Conclusion The two methods of posterior long-segment open reduction and internal fixation and posterior long-segment percutaneous nail internal fixation have significant effects in the treatment of patients with ankylosing spondylitis and thoracolumbar fractures.This method can significantly reduce the patient’s operation time,intraoperative blood loss and bedtime after operation.The effect is significant,and it is worthy of clinical promotion and application.