摘要
目的:探究经肌间隙入路结合伤椎置钉短节段内固定治疗胸腰段骨折的疗效。方法:2018年1月-2020年1月收治胸腰段骨折患者90例,随机分为两组,各45例。对照组给予传统后正中入路椎弓根螺钉内固定治疗;观察组给予经肌间隙入路结合伤椎置钉短节段内固定治疗。比较两组治疗效果。结果:观察组手术时间、术中出血量及术后引流量均低于对照组,差异有统计学意义(P<0.05);观察组干预3个月后的疼痛评分低于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论:经肌间隙入路结合伤椎置钉短节段内固定治疗胸腰段骨折患者,可缩短手术时间,减少术中出血量与术后引流量,并可减轻患者的疼痛程度,降低不良事件发生率。
Objective:To explore the effect of transmuscular approach combined with short-segment internal fixation of the injured vertebral with screws in the treatment of thoracolumbar fractures.Methods:From January 2018 to January 2020,90 patients with thoracolumbar fractures were selected,they were randomly divided into the two groups with 45 cases in each group.The control group was given the traditional posterior median approach pedicle screw internal fixation.The observation group was given the intramuscular approach combined with short-segment internal fixation of the injured vertebra.We compared the treatment effects of the two groups.Results:The operation time,intraoperative blood loss and postoperative drainage volume of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05).The pain score of the observation group after 3 months of intervention was lower than that of the control group,the difference was statistically significant(P<0.05).The incidence of adverse events in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The transmuscular approach combined with short-segment internal fixation of the injured vertebrae with screws for thoracolumbar fractures can shorten the operation time,reduce intraoperative blood loss and postoperative drainage,and can reduce the pain of the patient and reduce the incidence of adverse events.
作者
汤凌
Tang Ling(Department of Orthopedics,the People's Hospital of Taixing City,Jiangsu Taixing 225400)
出处
《中国社区医师》
2021年第31期35-36,共2页
Chinese Community Doctors
关键词
经肌间隙入路
伤椎置钉
短节段内固定
Transmuscular approach
Screw placement in injured vertebrae
Short-segment internal fixation
