摘要
目的 近年来胸腰段脊柱骨折发生率呈逐年上升趋势,影响患者日常生活质量。本研究探讨胸腰段脊柱骨折采用微创内固定手术治疗疗效。方法 选取浚县人民医院2016-04-01—2018-02-28实施微创内固定手术治疗的胸腰段脊柱骨折患者为试验组,实施开放式固定术治疗的为对照组,各53例。比较两组患者影像学指标、围术期指标和并发症。结果 术后1周,试验组和对照组椎体前缘高度分别为(94.22±7.01)%和(93.26±7.34)%,t=0.689,P>0.05;试验组和对照组Cobb’s角分别为(4.71±2.11)°和(4.81±2.13)°,t=0.243,P>0.05;试验组和对照组椎体矢状面指数分别为(91.01±11.27)%和(89.26±12.34)%,t=0.762,P>0.05。试验组出血量为(103.54±14.21)mL,少于对照组的(188.22±15.30)mL,t=29.524,P<0.001;试验组切口长度为(7.02±1.59)cm,短于对照组的(12.15±3.62)cm,t=9.446,P<0.001;试验组术后1周NRS评分为(2.03±0.36)分,低于对照组的(3.11±0.41)分,t=14.410,P<0.001;试验组住院时间为(9.62±1.84)d,低于对照组的(13.95±2.04)d,t=11.475,P<0.001;试验组并发症发生率为3.77%,低于对照组的16.98%,χ~2=4.970,P=0.026。结论 胸腰段脊柱骨折采用微创内固定手术治疗可获取与开放手术相同的疗效,并能减轻机体创伤性,降低并发症发生率,利于患者康复。
OBJECTIVE In recent years,the incidence of thoracolumbar spinal fractures has been increasing year by year,affecting the quality of daily life of patients.This study aims to investigate the treatment of thoracolumbar spinal fractures with minimally invasive internal fixation.METHODS The patients with thoracolumbar spinal fracture treated by minimally invasive internal fixation from April 1,2016to February 28,2018in our hospital were selected as the test group and the patients treated by open fixation as the control group.There were 53cases in each group.The imaging indexes,perioperative indexes and complications were compared between the two groups.RESULTS At 1week after operation,the heights of the anterior border of the test group and the control group respectively were(94.22±7.01)%and(93.26±7.34)%,t=0.689,P>0.05.The Cobb′s angle of the test group and the control group were(4.71±2.11)°and(4.81±2.13)°,respectively,t=0.243,P>0.05.The sagittal plane indices of the test group and the control group were(91.01±11.27)%and(89.26±12.34)%,respectively,t=0.762,P>0.05.The amount of bleeding in the test group was(103.54±14.21)ml,which was less than that of the control group(188.22±15.30)ml,t=29.524,P<0.001.The length of the incision in the test group was(7.02±1.59)cm,which was shorter than that of the control group(12.15±3.62)cm,t=9.446,P<0.001.The NRS score of the test group was(2.03±0.36)at 1week after operation,which was lower than that of the control group(3.11±0.41),t=14.410,P<0.001.The hospital stay was(9.62±1.84)d in the test group,which was lower than that of the control group(13.95±2.04)d,t=11.475,P<0.001.The complication rate of the test group was 3.77%,which was lower than that of the control group(16.98%),χ2=4.970,P=0.026.CONCLUSION Thoracic and lumbar spinal fractures with minimally invasive internal fixation can achieve the same effect as open surgery,reduce trauma and the incidence of complications,and facilitate rehabilitation.
作者
孙建伟
刘冰
SUN Jian-wei;LIU Bing(Department of Orthopedics,Xun County People’s Hospital,Xunxian County456250,P.R.China)
出处
《社区医学杂志》
2019年第13期799-801,共3页
Journal Of Community Medicine
关键词
胸腰段脊柱骨折
微创内固定手术
开放式固定术
康复效果
影像学指标
thoracolumbar spinal fracture
minimally invasive internal fixation
open fixation
rehabilitation effect
imaging index
