摘要
目的:研究Wiltse入路伤椎置钉内固定治疗胸腰段脊柱骨折的疗效。方法:2018年10月-2020年3月收治胸腰段脊柱骨折患者48例,随机分为两组。对照组采用传统后正中入路伤椎置钉内固定治疗;试验组采用Wiltse肌间隙入路伤椎置钉内固定治疗。比较两组治疗效果。结果:试验组手术时间、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);试验组术后1周、术后3个月、术后6个月视觉模拟评分法(VAS)评分及Oswestry功能障碍指数(ODI)均明显低于对照组,差异有统计学意义(P<0.05);试验组术后6个月椎体前缘高度比值高于对照组,Cobb角及Cobb角矫正丢失度均明显低于对照组,差异有统计学意义(P<0.05)。结论:Wiltse入路经伤椎置钉内固定治疗胸腰段脊柱骨折的创伤小,手术时间短,术后恢复快,符合微创手术理念。
Objective:To study the efficacy of internal fixation of injured vertebrae nailing through Wiltse approachin the treatment of thoracolumbar spine fractures.Methods:From October 2018 to March 2020,48 patients with thoracolumbar spine fractures were selected,they were randomly divided into the two groups.The control group was treated with internal fixation of injured vertebrae through traditional posterior median approach.The experimental group was treated with the internal fixation of injured vertebrae nailing through Wiltseapproach.We compared the treatment effects of the two groups.Results:The operation time,intraoperative blood loss and postoperative drainage volume of the experimental group were lower than those of the control group,the difference was statistically significant(P<0.05).The VAS score and ODI index in the experimental group were significantly lower than those in the control group at 1 week,3 months and 6 months after operation,the differences were statistically significant(P<0.05).The ratio of the height of the anterior edge of the vertebral body in the experimental group was higher than that of the control group at 6 months postoperatively,and the loss of Cobb angle and Cobb angle correction were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Theinternal fixation of injured vertebrae nailing through Wiltse approachin the treatment of thoracolumbar spine fractures has less trauma,short operation time,and quick postoperative recovery,which is in line with the concept of minimally invasive surgery.
作者
冯荣
杨峻
张向敏
梁王博
Feng Rong;Yang Jun;Zhang Xiangmin;Liang Wangbo(The Fourth Department of Orthopedics and Traumatology,Traditional Chinese Medicine Hospital of YuxiCity,Yunnan Yuxi 653100)
出处
《中国社区医师》
2021年第32期25-26,共2页
Chinese Community Doctors
