脊柱微创手术治疗骨质疏松性椎体骨折的临床疗效及疼痛度影响

The Clinical Efficacy and Pain Degree of Minimally Invasive Spinal Surgery in the Treatment of Osteoporotic Vertebral Fractures

目的:分析探讨脊柱微创手术治疗骨质疏松性椎体骨折的临床效果及疼痛度影响。方法:选取2019年1月~2019年12月期间120例骨质疏松性椎体骨折患者作为研究对象,按照治疗方法不同分为对照组和观察组各60例,对照组采用常规开放手术进行治疗,观察组采用脊柱微创手术进行治疗,对比两组患者术中住院时间、下床活动时间、骨折愈合时间和肌力恢复时间等指标,以及治疗效果、疼痛评分、腰椎功能恢复情况与术后生活质量等。结果:观察组住院时间、下床活动时间、骨折愈合时间、肌力恢复时间均短于对照组,两组数据对比存在显著性差异(P<0.05);观察组总有效率为96.67%,对照组为76.67%(P<0.05);观察组疼痛评分低于对照组,生活质量高于对照组,腰椎功能恢复情况明显好于对照组,两组数据对比存在显著性差异(P<0.05);术后观察组共2例出现并发症,对照组有11例出现并发症,发生率分别为3.33%、18.33%,两组数据对比存在显著性差异(P<0.05)。结论:采取脊柱微创手术治疗骨质疏松性椎体骨折患者,可显著提高治疗效果,降低患者疼痛,促进患者预后。

Objective:To analyze the clinical effect of minimally invasive spinal surgery for osteoporotic vertebral fractures and the feeling of pain.Methods:A total of 120 patients with osteoporotic vertebral fractures from January 2019 to December 2019 were selected as the research objects.According to different treatment methods,they were divided into control group and observation group,with 60 patients in each group.The control group was treated with conventional open surgery,and the observation group was treated with spinal minimally invasive surgery.Intraoperative hospital stay,time to get out of bed,fracture healing time,muscle strength recovery time,treatment effect,pain score,lumbar function recovery,postoperative quality of life and other indexes were compared between the two groups.Results:The observation group's hospitalization time,time to get out of bed,fracture healing time,and muscle strength recovery time were shorter than those of the control group.There was a significant difference in data comparison between the two groups(P<0.05).The total effective rate of the observation group was 96.67%,and that of the control group was 76.67%(P<0.05).The pain score of the observation group was lower than that of the control group,the quality of life was higher than that of the control group,and the recovery of lumbar spine function was significantly better than that of the control group.There was a significant difference between the two groups of data(P<0.05).A total of 2 patients in the observation group had complications,and 11 patients in the control group had complications after surgery.The incidences were 3.33%and 18.33%,respectively.There was significant difference in data comparison between the two groups(P<0.05).Conclusion:The application of minimally invasive spinal surgery in the treatment of patients with osteoporotic vertebral fractures can significantly improve the treatment effect,reduce the pain of the patient,and promote the prognosis of the patient.