微创与开放方案置入椎弓根螺钉内固定修复胸腰椎骨折的效果分析

Analysis of the effect of minimally invasive and open plan for the restoration of thoracolumbar fractures

目的:探讨微创与开放方案置入椎弓根螺丝钉内固定修复胸腰椎骨折的临床疗效。方法:收治胸腰椎骨折患者60例,其中30例给予微创经皮椎弓根螺钉内固定术修复(观察组),另30例给予开放式椎弓根螺钉内固定术修复(对照组)。结果:观察组手术时间、术中出血量、手术切口长度、术后引流量、输血量、住院时间及VAS评分均低于对照组(P<0.05);两组患者术前术后Cobb角、椎体前缘高度组内比较,差异有统计学意义(P<0.05)。结论:微创方案操作更简便、创伤更小、恢复更快、效果更佳。

Objective:To explore the clinical effect of minimally invasive and open plan for the treatment of thoracolumbar fractures with pedicle screw internal fixation.Methods:60 patients with wath thoracolumbar fracture were selected.30 of them were treated by minimally invasive percutaneous pedicle screw internal fixation repair(observation group) and other 30 cases received open pedicle screw fixation in the repair(control group).Results:The operative time,bleeding volume,operation incision length,drainage,blood transfusion and hospitalization time and VAS scores of the observation group were lower than those of the control group(P<0.05); the cobb angle and the height of the anterior vertebral body of the two groups patients before and after the surgery had significant difference(P<0.05).Conclusion:Minimally invasive operation is more simple.It has less trauma,faster recovery,and better effect.