微创手术治疗脊柱创伤的方法及临床效果

Study on the Methods and Clinical Effects of Minimally Invasive Surgery for Spinal Trauma

目的:对微创手术治疗脊柱创伤的方法及临床效果进行研究。方法:选取石门县人民医院2019年3月至2020年3月收治的脊柱创伤患者82例,随机分为两组,采用传统开放手术的脊柱创伤患者作为对照组,采用微创手术的脊柱创伤患者作为观察组,各41例。并比较两组脊柱创伤患者术后的手术指标、恢复指标、临床疗效以及并发症发生情况。结果:观察组患者术中出血量少于对照组,手术时间、住院时间短于对照组,差异具有统计学意义(P<0.05)。观察组患者术后疼痛程度、功能障碍程度评分低于对照组,腰椎功能评分高于对照组,差异具有统计学意义(P<0.05)。观察组患者治疗总有效率较对照组高,差异具有统计学意义(P<0.05)。观察组患者并发症发生率为7.32%,低于对照组的36.59%,差异具有统计学意义(P<0.05)。结论:微创手术是对脊柱创伤患者一种有效的治疗方法,具有切口面积小、临床疗效高、并发症发生率低等优势。

Objective To study the methods and clinical effects of minimally invasive surgery for spinal trauma.Methods A total of 82 patients with spinal trauma admitted to Shimen County People’s Hospital from March 2019 to March 2020 were randomly divided into two groups.Spinal trauma patients with traditional open surgery were selected as the control group,and spinal trauma patients with minimally invasive surgery were selected as the control group.As the observation group,41 cases in each group.The surgical index,recovery index,clinical efficacy and complications of the two groups of spinal trauma patients were compared.Results The postoperative blood loss of the observation group was less than that of the control group,and the operation time and hospital stay were shorter than those of the control group.The difference was statistically significant(P<0.05).The postoperative pain and dysfunction scores of the observation group were lower than those of the control group,and the lumbar function scores were higher than those of the control group.The difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The complication rate of the observation group was 7.32%,which was lower than that of the control group of 36.59%.The difference was statistically significant(P<0.05).Conclusion Minimally invasive surgery is an effective treatment method for patients with spinal trauma.It has the advantages of small incision area,high clinical efficacy,and low incidence of complications.