对比传统手术与微创治疗胸腰椎骨折的临床效果

Compared to Traditional Surgery and Minimally Invasive Treatment of Thoracolumbar Fractures Clinical Results

目的研究分析微创与传统手术在胸腰椎骨折治疗中的应用。方法回顾性分析我科于2014年2月至2015年2月收治的60例胸腰椎骨折病例,随机的分为观察组和对照组,观察组实施微创手术治疗,对照组实施传统手术治疗,对比分析两组患者的临床疗效。结果观察A组患者的切口为4~6个,切口长度为2cm,对照组的切口长(16±2)cm,观察组患者切口长度明显短于对照组,差异有统计学意义(P<0.05)。观察组手术时间(60±25)min以及术中出血量(75±20)m L明显小于对照组患者手术时间(140±20)min以及术中出血量(450±150)m L,差异有统计学意义(P<0.05)。结论胸腰椎骨折患者实施微创手术治疗,不仅仅有着较少的手术切口和较少的术中出血量,同时手术时间短,有一定的安全性和可行性,值得临床推广应用。

Objective To study the analysis of minimally invasive and traditional surgery for the treatment of thoracolumbar fractures. Methods A retrospective analysis of medical records of the hospital in February 2014-February 2015 were treated 60 cases of thoracolumbar fracture were randomly divided into observation group and control group, the observation group performing minimally invasive surgery, the implementation of the control group Traditional surgery, comparative analysis of the clinical efficacy of the two groups. Results The patient observer incision 4-6, incision length of 2cm, long incision group(16±2)cm, cut the length of patients in the observation group was significantly shorter than the control group, P <0.05, statistically significant. Observation operative time(60 ± 25) min and blood loss(75 ± 20) m L was significantly less than the control group of patients operative time(140 ± 20) min and blood loss(450 ± 150) m L, P <0.05, statistically significant. Conclusion Thoracic and lumbar fractures in patients with minimally invasive surgery, only with less surgical incision and less blood loss, and shorter operative time, there are certain safety and feasibility, worthy of clinical application.