摘要
目的:观察经皮椎弓根螺钉固定治疗胸腰椎段脊柱骨折的疗效及远期预后效果。方法:2019年6月-2020年6月收治胸腰椎段脊柱骨折患者54例,分为两组,各27例。对照组应用开放式椎弓根螺钉固定治疗;试验组应用经皮椎弓根螺钉固定治疗。比较两组治疗效果。结果:试验组切口长度、术中出血量、术后引流量及平均住院时间均低于对照组,差异有统计学意义(P<0.05);试验组术后并发症发生率低于对照组,差异有统计学意义(P<0.05);试验组术后1周、术后6个月VAS评分均低于对照组,差异有统计学意义(P<0.05)。试验组术后6个月Cobb's角、椎体矢状面指数及椎体前缘高度均高于对照组,差异有统计学意义(P<0.05)。结论:胸腰椎段脊柱骨折患者采用经皮椎弓根螺钉固定治疗效果显著优于开放式椎弓根螺钉固定治疗。
Objective:To explore the efficacy and long-term prognosis of percutaneous pedicle screw fixation in the treatment of thoracolumbar spine fractures.Methods:From June 2019 to June 2020,54 patients with thoracolumbar spine fractures were selected,and they were divided into two groups with 27 cases in each group.The control group was treated with open pedicle screw fixation.The experimental group was treated with percutaneous pedicle screw fixation.We compared the therapeutic effects of the two groups.Results:In the experimental group,the incision length,intraoperative bleeding,postoperative drainage and average hospital stay were lower than those in the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the experimental group was lower than that in the control group,the difference was statistically significant(P<0.05).In the experimental group,the scores of visual analog VAS scale at 1 week and 6 months after operation were lower than those in the control group,the difference was statistically significant(P<0.05).In the experimental group,Cobb's,vertebral sagittal index and anterior vertebral height were higher than those in the control group at 6 months after operation,the difference was statistically significant(P<0.05).Conclusion:The effect of percutaneous pedicle screw fixation in patients with thoracolumbar spine fractures is significantly better than that of open pedicle screw fixation.
作者
唐国亮
Tang Guoliang(The Second Department of Orthopedics,the People's Hospital of Jianghua Yao Autonomous County,Yongzhou City,Hunan Province,Hunan Yongzhou 425500)
出处
《中国社区医师》
2021年第34期38-39,共2页
Chinese Community Doctors