微创闭合复位与开放置入椎弓根螺钉内固定治疗胸腰椎骨折的临床比较

目的:对比探究微创闭合复位与开放置入椎弓根螺钉内固定治疗胸腰椎骨折的临床疗效。方法:基于本院自2013年7月-2015年5月期间收治的70例胸腰椎骨折患者的临床资料,按照临床治疗方式的不同,随机的将这70例患者分为观察组(采用微创闭合复位治疗方式)和对照组(采用开放置入椎弓根螺钉内固定治疗方式),两组各35例,观察比较两组患者的临床治疗效果,并且对所有患者进行为期3个月的随访调查,比较两组患者对临床治疗工作的满意情况。结果:观察组35例患者的临床疗效(总有效率为91.43%)明显的优于对照组35例患者的临床疗效(总有效率为71.43%)(P<0.05),具有统计学意义;观察组35例患者的并发症发生率8.57%明显的低于对照组35例患者的并发症发生率34.29%(P<0.05),具有统计学意义;观察组35例患者对临床治疗工作的满意度(总满意率为%)明显的高于对照组35例患者对临床治疗工作的满意度(总满意率为%)(P<0.05),具有统计学意义。结论:微创闭合复位治疗胸腰椎骨折是一种临床疗效优于开放置入椎弓根螺钉内固定治疗的临床手段,能够有效的降低患者的疼痛,改善患者的生活质量。

Objective:To explore the clinical curative effect comparison of minimally invasive closed reduction and open pedicle screw fixation of thoracolumbar fracture.Methods:the clinical data of our hospital treated 70 cases of thoracolumbar fracture patients during the period from July 2013 to May 2015 based on the clinical treatment according to the different ways of random,the 70 patients were divided into observation group(the treatment of minimally invasive closed reduction)and control group(with open pedicle screw fixation for treatment of two),35 cases in each group.The clinical therapeutic effect of two groups were compared, and the patients were followed up for 3 months,compared two groups of patients with the clinical treatment.Results:the clinical observation group of 35 patients(total effective rate was 91.43%) was better than the control group of 35 patients with clinical curative effect(the total effective rate was 71.43%(P<0.05),with statistical Significance; observation group of 35 cases of patients with complication rate was 8.57% was significantly lower than that of the control group(35 cases)of patients with complications of 34.29%(P<0.05),with statistical significance; observation group of 35 patients to clinical treatment satisfaction(total satisfaction rate%)was significantly higher than that in the control group of 35 patients to clinical treatment satisfaction(total satisfaction rate%)(P< 0.05),with statistical significance.Conclusion:minimally invasive closed reduction in treatment of thoracolumbar fracture is a clinical curative effect is better than open pedicle screw internal fixation in the treatment of clinical methods, can effectively reduce the patient's pain,improve quality of life of patients.