经皮脊柱微创内固定技术治疗创伤性胸腰椎骨折疗效分析

Percutaneous Spinal Minimally Invasive Internal Fixation Technique for Traumatic Thoracolumbar Fractures

目的研究经皮脊柱微创内固定技术在创伤性胸腰椎骨折中的临床治疗效果。方法方便选择该院2017年1月-2018年12月收治的创伤性胸腰椎骨折患者84例。按照就诊顺序,将其分为对照组和研究组。对照组行钉棒脊柱内固定技术治疗,研究组行经皮脊柱微创内固定技术治疗,分别对比两组的临床治疗效果、手术相关指标。结果研究组治疗有效率为95.24%,高于对照组的69.05%,差异有统计学意义(χ^2=9.820,P=0.000);研究组术中出血量为(63.75±12.39)mL,少于对照组的(253.17±24.91)mL,差异有统计学意义(t=44.123,P=0.000);研究组手术时间为(88.23±12.37)min,短于对照组的(94.52±14.75)min,差异有统计学意义(t=2.117,P=0.037);研究组下床活动时间为(4.35±1.22)d,短于对照组的(15.76±2.58)d,差异有统计学意义(t=25.910,P=0.000);研究组住院时间为(15.83±2.47)d,短于对照组的(23.54±5.37)d,差异有统计学意义(t=8.453,P=0.000)。结论采用经皮脊柱微创内固定技术对创伤性胸腰椎骨折患者实施临床治疗,有助于恢复患者的椎体功能,缓解术后疼痛症状,避免继发性神经损伤,进而缩短患者的住院时间,提升临床治疗效果,值得在临床治疗中广泛应用和推广。

Objective To analyze the clinical treatment effect of percutaneous spinal minimally invasive internal fixation technique in traumatic thoracolumbar fractures.Methods 84 patients with traumatic thoracolumbar fractures admitted to our hospital from January 2017 to December 2018 were convenient selected.According to the order of visits,it was divided into a control group and a research group.The control group was treated with nail-rod spinal internal fixation technology,and the research group was treated with percutaneous spinal minimally invasive internal fixation technology.The clinical treatment effects and surgical related indicators of the two groups were compared.Results The treatment effective rate in the study group was 95.24%,higher than 69.05%in the control group,the difference was statistically significant(χ^2=9.820,P=0.000);the intraoperative blood loss in the study group was(63.75±12.39)mL,which was less than that in the control group(253.17±24.91)mL,the difference was statistically significant(t=44.123,P=0.000);the operation time of the study group was(88.23±12.37)min,shorter than that of the control group(94.52±14.75)min,the difference was statistically significant(t=2.117,P=0.037);the time for the study group to get out of bed was(4.35±1.22)d,shorter than the control group(15.76±2.58)d,the difference was statistically significant(t=25.910,P=0.000);the hospital stay of the study group was(15.83±2.47)d,shorter than the control group(23.54±5.37)d,the difference was statistically significant(t=8.453,P=0.000).Conclusion The use of percutaneous spinal minimally invasive internal fixation technology for clinical treatment of patients with traumatic thoracolumbar fractures can help restore the patient's vertebral body function,relieve postoperative pain symptoms,avoid secondary nerve injury,and shorten the patient's hospitalization time,improving clinical treatment effect,is worthy of extensive application and promotion in clinical treatment.