Objective:To explore the clinical effect of internal fixation and fusion with the paraspinal muscle gap approach in the treatment of spinal fracture patients.Methods:104 spinal fracture patients admitted to Central Ho...Objective:To explore the clinical effect of internal fixation and fusion with the paraspinal muscle gap approach in the treatment of spinal fracture patients.Methods:104 spinal fracture patients admitted to Central Hospital of TCM from October 2022 to April 2024 were selected as the study subjects and were randomly divided into the control group(n=52)and the observation group(n=52)according to the random number table method.The control group was treated with the conventional approach of internal fixation surgery,and the observation group was treated with the paraspinal muscular interspace approach of internal fixation fusion.The two groups’general data,surgical indexes,pain,lumbar spine function,and postoperative complications were observed.Results:The baseline data of the two groups of patients were not statistically significant(all P>0.05)while the intraoperative bleeding,the first postoperative time getting up from bed,and the length of hospital stay of the patients in the observation group were shorter than that of the control group(all P=0.000<0.001),and the duration of the operation was longer than that of the control group(t=2.644,P=0.010<0.05);at 3 months postoperatively,the VAS scores of the patients in the observation group were significantly lower than those in the control group(t=10.768,P=0.000<0.001),and the JOA score was higher than that of the control group(t=6.498,P=0.000<0.001);the total complication rate of patients in the observation group(3/5.77%)was significantly lower than that of the control group(12/23.08%)(χ^(2)=6.310,P=0.012<0.05).Conclusion:In the treatment of spinal fracture patients,compared with the conventional approach to internal fixation surgery,the paraspinal muscular gap approach to internal fixation and fusion treatment is less traumatic,postoperative lumbar spine function recovery is faster,and can reduce the incidence of postoperative complications.展开更多
目的观察经椎旁肌间隙入路微创小切口在胸腰段骨折术后内固定取出术中的应用。方法 40例腰段骨折术后患者行内固定取出,随机分为传统组和小切口组,每组20例。传统组经原手术切口取出内固定;小切口组在C臂X线机下定位或体表触摸定位取出...目的观察经椎旁肌间隙入路微创小切口在胸腰段骨折术后内固定取出术中的应用。方法 40例腰段骨折术后患者行内固定取出,随机分为传统组和小切口组,每组20例。传统组经原手术切口取出内固定;小切口组在C臂X线机下定位或体表触摸定位取出。观察两组的手术时间、手术切口长度,记录术中出血量、术后体温及术后24 h疼痛视觉模拟评分(VAS)。结果传统组:手术时间(64.6±13.1)min,手术切口(14.0±3.1)cm,术中出血量(310±160)ml,术后体温(38.6±1.2)℃,24 h VAS评分(8.4±0.5)分,住院时间(7.1±0.5)d。小切口组:手术时间(40.2±10.2)min,手术切口(4.1±0.7)cm,术中出血量(68±15)ml,术后体温(37.3±1.1)℃,24 h VAS评分(5.2±0.6)分,住院时间(3.0±0.2)d。两组手术效果各项比较差异均有统计学意义(P<0.01)。结论与传统内固定取出术比较,经椎旁肌间隙入路微创小切口取出内固定有减少手术时间、术中出血量、术后发热及疼痛程度等优点。展开更多
基金Hebei Province’s 2020 Medical Scientific Research Topics“Clinical Study on Simultaneous Treatment of Multi-Segment Lumbar Disc Herniation with Transforaminal Endoscopy”(Project No.:1951ZF073)。
文摘Objective:To explore the clinical effect of internal fixation and fusion with the paraspinal muscle gap approach in the treatment of spinal fracture patients.Methods:104 spinal fracture patients admitted to Central Hospital of TCM from October 2022 to April 2024 were selected as the study subjects and were randomly divided into the control group(n=52)and the observation group(n=52)according to the random number table method.The control group was treated with the conventional approach of internal fixation surgery,and the observation group was treated with the paraspinal muscular interspace approach of internal fixation fusion.The two groups’general data,surgical indexes,pain,lumbar spine function,and postoperative complications were observed.Results:The baseline data of the two groups of patients were not statistically significant(all P>0.05)while the intraoperative bleeding,the first postoperative time getting up from bed,and the length of hospital stay of the patients in the observation group were shorter than that of the control group(all P=0.000<0.001),and the duration of the operation was longer than that of the control group(t=2.644,P=0.010<0.05);at 3 months postoperatively,the VAS scores of the patients in the observation group were significantly lower than those in the control group(t=10.768,P=0.000<0.001),and the JOA score was higher than that of the control group(t=6.498,P=0.000<0.001);the total complication rate of patients in the observation group(3/5.77%)was significantly lower than that of the control group(12/23.08%)(χ^(2)=6.310,P=0.012<0.05).Conclusion:In the treatment of spinal fracture patients,compared with the conventional approach to internal fixation surgery,the paraspinal muscular gap approach to internal fixation and fusion treatment is less traumatic,postoperative lumbar spine function recovery is faster,and can reduce the incidence of postoperative complications.
文摘目的观察经椎旁肌间隙入路微创小切口在胸腰段骨折术后内固定取出术中的应用。方法 40例腰段骨折术后患者行内固定取出,随机分为传统组和小切口组,每组20例。传统组经原手术切口取出内固定;小切口组在C臂X线机下定位或体表触摸定位取出。观察两组的手术时间、手术切口长度,记录术中出血量、术后体温及术后24 h疼痛视觉模拟评分(VAS)。结果传统组:手术时间(64.6±13.1)min,手术切口(14.0±3.1)cm,术中出血量(310±160)ml,术后体温(38.6±1.2)℃,24 h VAS评分(8.4±0.5)分,住院时间(7.1±0.5)d。小切口组:手术时间(40.2±10.2)min,手术切口(4.1±0.7)cm,术中出血量(68±15)ml,术后体温(37.3±1.1)℃,24 h VAS评分(5.2±0.6)分,住院时间(3.0±0.2)d。两组手术效果各项比较差异均有统计学意义(P<0.01)。结论与传统内固定取出术比较,经椎旁肌间隙入路微创小切口取出内固定有减少手术时间、术中出血量、术后发热及疼痛程度等优点。
