摘要
目的通过对不同组实施不同的手术方案,观察两组临床效果,探讨椎弓根螺丝固定治疗脊柱损伤的优缺点。方法从到该院诊治的2015年1月—2018年7月骨科脊柱患者中随机抽取52例患者,分组时采用随机数字法,比较两种方法的临床效果。结果治疗后治疗组Cobb角为(5.98±1.33)°小于对照组(t=2.882,P<0.05)、伤锥前缘高度压迫率(6.13±1.36)%小于对照组(t=3.528,P<0.05)、VAS评分为(2.89±0.23)分小于对照组(t=3.283,P<0.05);治疗组并发症的发生率为为19.23%低于对照组(χ~2=18.427,P<0.05),螺丝钉松动率为3.85%低于对照组(χ~2=16.325,P<0.05);治疗组住院时间为(7.98±1.99)d低于对照组(t=8.116,P<0.05)、手术出血量为(36.78±5.73)mL低于对照组(t=11.101,P<0.05)和手术时间为(54.15±3.92)min低于对照组(t=5.082,P<0.05)。结论椎弓根螺丝固定法可有效提高临床疗效,减少术后并发症的发生,减少住院、手术时间和手术出血量,是一项值得推广的治疗脊柱损伤的手术方法。
Objective To observe the clinical effects of different groups of different surgical procedures, and to explore the advantages and disadvantages of pedicle screw fixation for spinal injury. Methods A total of 52 patients were randomly selected from the patients with orthopaedic spine from January 2015 to July 2018 in our hospital. The randomized digital method was used to compare the clinical effects of the two methods. Results After treatment, the Cobb angle of the treatment group was(5.98±1.33)°, which was smaller than that of the control group(t=2.882, P<0.05), and the height of the injury cone was(6.13±1.36)%, which was smaller than the control group(t=3.528, P<0.05), VAS score was(2.89±0.23)points less than the control group(t=3.283, P<0.05);the incidence of complications in the treatment group was 19.23% lower than that of the control group(χ^2=18.427, P<0.05), and the screw loosening rate was 3.85% lower than the control group(χ^2=16.325, P<0.05);the hospitalization time in the treatment group was(7.98±1.99)d lower than the control group(t=8.116, P<0.05), and the surgical bleeding volume was(36.78±5.73)mL lower than the control group(t=11.101, P<0.05) and operative time was(54.15±3.92)min lower than the control group(t=5.082, P<0.05). Conclusion The pedicle screw fixation method can effectively improve the clinical efficacy, reduce the occurrence of postoperative complications, reduce the hospitalization, operation time and surgical bleeding volume. It is a surgical method worthy of popularization for the treatment of spinal injury.
作者
韩成相
黄叶建
HAN Cheng-xiang;HUANG Ye-jian(Department of Orthopaedics, Municipal Oriental Hospital, Lianyungang, Jiangsu Province, 222042 China)
出处
《中外医疗》
2019年第7期84-86,共3页
China & Foreign Medical Treatment
作者简介
韩成相(1978-),男,江苏连云港人,本科,副主任医师,研究方向:脊柱,关节,创伤。
