微创手术与传统开放手术治疗脊柱创伤的临床效果分析

Clinical Effect Analysis of Minimally Invasive Surgery and Traditional Open Surgery in the Treatment of Spinal Trauma

目的对比微创手术、传统开放手术应用于脊柱创伤治疗中的临床效果。方法方便选取2020年3月—2023年4月南京市六合区人民医院骨科收治的84例脊柱创伤患者为研究对象,根据手术方案分为两组,每组42例。对照组采用传统开放手术,观察组采用微创手术。比较两组手术情况相关指标、相关病理指标、生理功能水平,并统计术后并发症发生情况。结果相较于对照组,观察组手术用时短、出血少、切口小、术后疼痛感轻、住院时间短,差异有统计学意义(P<0.05)。手术后,相较于对照组,观察组Cobb´s角更小、前缘高度与矢状位指数更高、C-反应蛋白水平更低,差异有统计学意义(P<0.05)。手术后,相较于对照组,观察组日本骨科协会评估治疗分数评分、日常生活活动能力量表评分更高,差异有统计学意义(P<0.05)。观察组并发症发生率为7.14%,低于对照组的23.81%,差异有统计学意义(χ^(2)=4.459,P<0.05)。结论治疗脊柱创伤患者时,可优先考虑微创手术,这是因为相较传统开放手术而言具备手术更顺利、更安全、术后恢复快等多种优点,可以改善生理功能、提高疗效,还可预防并发症。

Objective To compare the clinical effects of minimally invasive surgery and traditional open surgery in the treatment of spinal trauma.Methods A total of 84 patients with spinal trauma admitted to the Department of Orthopaedics,Liuhe District People's Hospital of Nanjing from March 2020 to April 2023 were conveniently selected as the research objects.According to the surgical plan,they were divided into two groups,with 42 cases in each group.The control group was treated with traditional open surgery,and the observation group was treated with minimally invasive surgery.The related indexes of operation,related pathological indexes and physiological function level were compared between the two groups,and the occurrence of postoperative complications was counted.Results Compared with the control group,the observation group had shorter operation time,less bleeding,smaller incision,less postoperative pain and shorter hospitalization time,and the difference was statistically significant(P<0.05).After operation,compared with the control group,the Cobb's angle of the observation group was smaller,the anterior height and sagittal index were higher,and the C-reactive protein level was lower,the difference was statistically significant(P<0.05).After op-eration,compared with the control group,the Japanese Orthopaedic Association evaluation treatment score and daily living activity ability scale score of the observation group were higher,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 7.14%,which was lower than 23.81%in the control group,and the difference was statistically significant(χ^(2)=4.459,P<0.05).Conclusion Minimally invasive surgery can be prioritized in the treatment of spinal trauma patients because of the advantages of smoother and safer surgery,faster postoperative recovery,improved physiological function,improved efficacy,and prevention of complications compared with traditional open surgery.