经皮椎弓根螺钉微创手术治疗脊柱骨折的临床疗效

Clinical Effect of Percutaneous Pedicle Screw Minimally Invasive Surgery for Spinal Fractures

目的讨论经皮椎弓根螺钉微创手术治疗脊柱骨折的临床疗效。方法选取2019年4月—2020年3月期间来该院治疗脊柱骨折的患者120例,根据随机数字法分为两组,在实验组中使用经皮椎弓根螺钉微创手术治疗,在对照组中使用传统开放内固定手术治疗,比较两组的治疗效果、手术指标、影像学参数的情况。结果实验组中有6.67%的患者表示治疗效果为差,有18.33%的患者表示治疗效果为良,有75.00%的患者表示治疗效果为优;对照组中有30.00%的患者表示治疗效果为差,有20.00%的患者表示治疗效果为良,有50.00%的患者表示治疗效果为优;两组差异有统计学意义(χ^2=10.909,P<0.05)。实验组中手术时间长高于对照组,但差异无统计学意义(P<0.05)。对照组的手术中出血量高于实验组,差异有统计学意义(t=7.338,P<0.05)。实验组的住院时间短于对照组,差异有统计学意义(t=7.825,P<0.05)。实验组的椎体前缘相对高度高于对照组,差异有统计学意义(P<0.05)。对照组的椎间隙高度小于实验组,差异有统计学意义(P<0.05)。实验组的后凸Cobb角低于对照组,差异有统计学意义(P>0.05)。结论在脊柱骨折的患者中使用经皮椎弓根螺钉微创手术治疗,有利于提高治疗效果,减少住院时间,手术中出血量,改善影像学参数,具有重要的临床价值。

Objective To discuss the clinical effect of percutaneous pedicle screw minimally invasive surgery for spinal fractures. Methods A total of 120 patients who came to the hospital for treatment of spinal fractures from April 2019 to March 2020 were selected and divided into two groups according to the random number method. The experimental group was treated with percutaneous pedicle screw minimally invasive surgery. Traditional open internal fixation surgery was used in the control group, and the treatment effects, surgical indicators, and imaging parameters of the two groups were compared. Results In the experimental group, 6.67% of the patients indicated that the treatment effect was poor,18.33% of the patients indicated that the treatment effect was good, and 75.00% of the patients indicated that the treatment effect was excellent;30.00% of the patients in the control group indicated that the treatment effect of satiety was poor, 20.00% of the patients indicated that the treatment effect was good, and 50.00% of the patients indicated that the treatment effect was excellent;the difference between the two groups was statistically significant(χ^2=8.116, P<0.05).The operation time in the experimental group was longer than that in the control group,but the difference was not statistically significant(P>0.05). The amount of bleeding during surgery in the control group was higher than that in the experimental group,the difference was statistically significant(t=7.338, P<0.05). The length of stay in the experimental group was shorter than that of the control group, the difference was statistically significant(t =7.825, P <0.05). The relative height of the vertebral body of the experimental group was relatively higher than that of the control group,the difference was statistically significant(P<0.05). The height of the intervertebral space of the control group was smaller than that of the experimental group,the difference was statistically significant(P<0.05). The kyphotic Cobb angle of the experimental group was lower than that of the control group,the difference was statistically significant(P <0.05).Conclusion The use of percutaneous pedicle screw minimally invasive surgery in patients with spinal fractures is beneficial to improve the treatment effect, reduce hospitalization time, blood loss during surgery, and improve imaging parameters. It has important clinical value.