摘要
目的观察经皮椎弓根螺钉微创手术治疗胸腰椎骨折的效果探讨。方法回顾性选取2018年3月至2020年2月入院骨科病房的76例住院胸腰椎骨折患者资料进行研究,根据不同术式将其分为微创手术组(38例患者)与传统手术组(38例患者),微创手术组采用微创经皮椎弓根螺钉内固定术,传统手术组采用开放性创口前后位手术;记录并对比两组患者的手术时间、术中出血量、术后创面恢复时间及术后自主活动时间,并观察两组患者术后3个月、6个月及12个月功能恢复情况以及随访期间并发症发生情况。结果微创手术组手术时间、术后创面愈合时间及术后自主活动时间均短于传统手术组,其术中出血量少于传统手术组(P<0.05);微创手术组术后3个月、6个月及12个月Cobb’s角均小于传统手术组,其术后3个月、6个月及12个月ASIA评分均高于传统手术组(P<0.05);微创手术组术后并发症发生率为5.26%,低于传统手术组的21.05%(P<0.05)。结论经皮椎弓根螺钉微创手术在胸腰椎骨折患者治疗中有较好的效果,该术式具有手术时间短、创伤小、并发症少等优点,有利于加快患者术后康复进程,并促进及椎体形态与脊柱功能的恢复。
Objective To observe the effect of minimally invasive percutaneous pedicle screw surgery in the treatment of thoracolumbar fractures.Methods 76 patients with thoracolumbar fractures admitted to orthopedic ward from March 2018 to February 2020 were retrospectively selected and divided into minimally invasive operation group(38 patients)and traditional operation group(38 patients)according to different operation methods.Minimally invasive operation group was treated with minimally invasive percutaneous pedicle screw fixation,while traditional operation group was treated with open wound anteroposterior surgery.The operation time,intraoperative blood loss,postoperative wound recovery time and postoperative autonomous activity time of the two groups were recorded and compared.The functional recovery of the two groups at 3 months,6 months and 12 months after operation and the complications during the follow-up period were observed.Results The operation time,postoperative wound healing time and postoperative autonomous activity time of the minimally invasive operation group were shorter than those of the traditional operation group,and the intraoperative blood loss of the minimally invasive operation group was less than that of the traditional operation group(P<0.05).The Cobb’s angle of the minimally invasive surgery group was lower than that of the traditional surgery group at 3 months,6 months and 12 months after operation,and the ASIA score of the minimally invasive surgery group was higher than that of the traditional surgery group at 3 months,6 months and 12 months after operation(P<0.05).The incidence of postoperative complications in the minimally invasive surgery group was 5.26%,which was lower than 21.05%in the traditional surgery group(P<0.05).Conclusion Percutaneous pedicle screw minimally invasive surgery has good effect in the treatment of thoracolumbar fractures.It has the advantages of short operation time,less trauma and fewer complications.It is helpful to accelerate the process of postoperative rehabilitation,and promote the recovery of vertebral body shape and spinal function.
作者
沈晓涛
徐响阳
周健和
罗德民
潘亚伟
SHEN Xiao-tao;XU Xiang-yang;ZHOU Jian;LUO De-min;PAN Ya-wei(Department of Spine and Joint Surgery,Dongguan Kanghua Hospital,Dongguan,Guangdong 523000)
出处
《智慧健康》
2021年第29期97-99,102,共4页
Smart Healthcare
关键词
胸腰椎骨折
经皮椎弓钉微创手术
临床效果
Thoracolumbar fractures
Minimally invasive percutaneous pedicle screw surgery
Clinical effect
