摘要
目的:研究微创长尾椎弓根螺钉治疗胸椎腰椎骨折的临床运用探讨。方法:选择2013年10月-2015年10月在笔者所在医院进行治疗的胸椎腰椎骨折患者20例,将其随机分成对照组和观察组。对照组患者采用常规的开放式椎弓根螺钉内固定进行治疗,观察组患者采用微创经皮椎弓根螺钉内固定进行治疗。统计患者的切口长度、手术时间、术中出血量以及术后引流量,并对其影像学参数及伤椎前缘高度进行分析。结果:观察组患者的手术切口长度、手术时间、术中出血量以及术后引流量均优于对照组,差异均有统计学意义(P<0.05)。手术治疗后两组患者的Cobb’s角、矢状面指数以及椎体前缘高度均有明显提高,但两组比较差异均无统计学意义(P>0.05)。结论:微创长尾椎弓根螺钉用于治疗胸椎腰椎骨折患者具有较好的效果,创伤小,出血少,术后恢复快,值得临床推广应用。
Objective:To investigate the clinical application of minimally invasive pedicle screw in the treatment of thoracolumbar vertebrae fracture. Method:20 patients with thoracic and lumbar vertebrae fracture from October 2013 to October 2015 in our hospital for treatment were selected,they were randomly divided into the control group and the observation group.Patients in the control group were treated with conventional open pedicle screw fixation,and the patients in the observation group were treated with minimally invasive percutaneous pedicle screw fixation.The incision length,operation time,intraoperative blood loss and postoperative drainage volume were recorded,and the imaging parameters and the height of the injured vertebra were analyzed.Result:The length of incision,operation time,intraoperative blood loss and postoperative drainage volume in the observation group were better than those in control group, the differences were statistically significant(P<0.05);after operation,Cobb’s angle,sagittal index and vertebral height were significantly improved in the two groups, but there were no significant differences between the two groups(P>0.05).Conclusion:Minimally invasive predicle screw for the treatment of thoracic lumbar spine fracture patients have better effect,less trauma,less bleeding,faster recovery,it is worth clinical application.
出处
《中外医学研究》
2016年第16期27-29,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
微创长尾椎弓根螺钉
胸椎腰椎骨折
临床运用探讨
Minimally invasive pedicle screw
Thoracolumbar vertebrae fracture
Clinical application study
