微创脊柱创伤手术治疗对脊柱创伤患者临床疗效和神经功能及机体功能障碍的影响

Effects of minimally invasive spinal trauma surgery on clinical efficacy and neurological function and body dysfunction in patients with spinal trauma

目的分析微创脊柱创伤手术治疗对脊柱创伤患者的临床疗效、神经功能及机体功能障碍的影响。方法回顾性分析2016年1月至2022年1月聊城市妇幼保健院诊治的80例脊柱创伤患者的临床资料,按照治疗方案不同分为对照组与研究组,每组40例。对照组行传统开放手术治疗,研究组行微创脊柱创伤手术治疗,比较两组围手术期指标、临床疗效和手术前后Oswestry功能障碍指数(ODI)评分、日本骨科协会评估治疗分数(JOA)评分、视觉模拟评分法(VAS)评分及神经功能恢复情况。结果研究组手术时间、下床活动时间、住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。研究组治疗总有效率95.00%,高于对照组的75.00%,差异有统计学意义(P<0.05)。术后,两组ODI、VAS评分均低于术前,JOA评分高于术前,且研究组ODI、VAS评分均低于对照组,JOA评分均高于对照组,差异有统计意义(P<0.05)。研究组神经功能有效恢复率高于对照组,差异有统计学意义(P<0.05)。结论微创脊柱创伤手术治疗脊柱创伤的疗效显著,能改善患者临床症状,缩短手术时间,减少术中出血量,促进患者术后早日下床活动,促进患者腰椎功能恢复,有利于机体功能恢复,强化神经功能。

Objective To analyze the effect of minimally invasive spinal trauma surgery on clinical efficacy,neurological function and body dysfunction in patients with spinal trauma.Methods The clinical data of 80 patients with spinal trauma diagnosed and treated in Liaocheng Maternal and Child Health Hospital from January 2016 to January 2022 were retrospectively analyzed,and they were divided into the control group and the study groups according to different treatment plans,with 40 cases in each group.The control group underwent traditional open surgery,and the study group underwent minimally invasive spinal trauma surgery.The perioperative indexes,clinical efficacy,Oswestry disability index(ODI)score,Japanese Orthopaedic Association assessment(JOA)score,visual analogue scale(VAS)score before and after operation,and neurological function recovery were compared between the two groups.Results The operation time,getting out of bed time hospitalization time in the study group were shorter than those in the control group,and the amount of intraoperative blood loss was less than that in the control group,the differences were statistically significant(P<0.05).The total effective rate in the study group was 95.00%,which was higher than 75.00%in the control group,the difference was statistically significant(P<0.05).After operation,the ODI and VAS scores of the two groups were lower than those before operation,and the JOA score was higher than that before operation,and the ODI and VAS scores in the study group were lower than those in the control group,and the JOA scores in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The effective recovery rate of neurological function in the study group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Minimally invasive spinal trauma surgery has significant on spinal trauma,which can improve clinical symptoms of patients,shorten operation time,reduce intraoperative blood loss,promote patients to get out of bed as soon as possible after the operation,which promote lumbar function recovery of patients,contribute to body function recovery,and enhancement of neurological function.