摘要
目的 比较经皮微创椎弓根钉内固定术同开放手术内固定治疗胸腰椎骨折的效果差异。方法 选取2014年1月-2015年12月我院72例胸腰椎骨折患者,随机将其分为研究组和对照组,每组36例。对照组实施开放手术内固定治疗,研究组采用经皮微创椎弓根钉内固定术。使用SF-36量表评价患者的生活质量,对两组患者的手术时间,手术前后的椎体前缘相对高度、椎间隙高度及后凸Cobb角变化情况,住院时间,生活质量评分及并发症情况进行综合比较。结果 研究组和对照组的手术时间分别为（59.26±8.46）、（60.72±7.30）min,两组比较差异无统计学意义（t=0.7840,P〉0.05）;研究组住院时间为（8.25±1.60）d,短于对照组的（13.28±2.74）d,两组比较差异有统计学意义（t=9.5117,P〈0.05）。两组术后椎体前缘相对高度、椎间隙高度较术前上升,后凸Cobb角较术前减小（P〈0.05）,但组间比较差异无统计学意义（P〉0.05）;研究组生活质量各维度评分较对照组优（P〈0.05）;两组术后均无显著并发症发生。结论 经皮微创椎弓根钉内固定术同开放内固定术治疗胸腰椎骨折均有满意的效果,其中经皮微创椎弓根钉内固定术创伤小,患者术后恢复快,生活质量高。
Objective To compare the clinical effects of application of minimally invasivepercutaneous pedicle screw fixation and open surgery internal fixation in the treatment of thoracolumbar fractures.Methods Altogether 72 cases of thoracolumbar fracture patients who were treated in the hospital from January 2014 to December 2015 were involved as the objects of study and randomly divided into Study Group and Control Group with 36 cases in each group.Patients in Control Group were treated with open surgery internal fixation; while,Study Group underwent minimally invasive percutaneous pedicle screw fixation.SF-36 was used to evaluate the quality of life and comprehensively compare two groups from multiple aspects,including duration of surgery,pre-and post-operation vertebral height,intervertebral height,changes in kyphosis Cobb angle,length of hospitalization,quality of life score and complications.Results Two groups showed no significant difference in duration of surgery in Study Group of（59.26 ±8.46） min and in Control Group of（60.72±7.30） min（t=0.7840,P〈0.05）.The length of hospitalization in Study Group [（8.25 ±1.60） d] was shorter than that of Control Group [（13.28±2.74） d]（t=9.5117,P〈0.05）.Increased vertebral height and intervertebral height as well as reduced kyphosis Cobb angle were seen in both groupspost-operatively in contrast with pre-operation（P〈0.05）,without significant difference between two groups（P〈0.05）.Study Group achieved better quality of life scores in all the aspectsthan Control Group（P〈0.05）.No complications occurred in neither groups post-operatively.Conclusion Both the minimally invasive percutaneous pedicle screw fixation and open surgery internal fixation demonstrate satisfactory effectiveness in treatment of thoracolumbar fractures,among which the minimally invasive percutaneous pedicle screw fixation show its advantages in small trauma and postoperativequick recovery time and high quality of lifefor patients.
出处
《中国当代医药》
2016年第18期54-56,共3页
China Modern Medicine
关键词
经皮微创
椎弓根钉内固定
开放手术
胸腰椎骨折
Percutaneous minimally invasive
Pedicle screw fixation
Open surgery
Thoracolumbar fractures
