摘要
目的 分析微创脊柱创伤手术对脊柱创伤患者术中出血量、手术时间、疼痛度及术后并发症的影响。方法 样本取自2019年2月-2021年2月时段内收治的60例脊柱创伤患者,依据术式不同分为对比组(传统开放手术)、研究组(微创脊柱创伤手术),单组例数30,比较围术期指标、影像学指标以及术后并发症发生率等数据差异。结果 研究组手术时间、术中出血以及住院时间均较对比组少,术后24 h疼痛评分较对比组更低(P<0.05);手术前,两组脊柱Cobb’s角、伤椎前缘高度比较无差异(P>0.05),手术后,研究组均优于对比组(P<0.05);研究组感染、下肢深静脉血栓以及运动功能障碍等并发症总发生率3.33%较对比组20.00%更低(P<0.05)。结论 在脊柱创伤患者临床治疗中,采用微创脊柱创伤手术,对缩短手术及住院用时、减少术中出血、减轻术后疼痛等均具有积极影响,同时,还可能更好改善影像学指标、显著降低并发症发生率。
Objective To analyze the effect of minimally invasive spinal trauma surgery on intraoperative blood loss,operative time,pain and postoperative complications in patients with spinal trauma.Methods Samples were taken from 60 spinal trauma patients admitted to our hospital from February 2019 to February 2021.According to different surgical procedures,they were divided into a comparison group(traditional open surgery),a study group(minimally invasive spinal trauma surgery),and a single group The number of cases was 30,and the differences in data such as perioperative indicators,imaging indicators,and postoperative complications were compared.Results The operation time,intraoperative bleeding and hospitalization time of the study group were less than those of the comparison group,and the pain score at 24 hours after operation was lower than that of the comparison group(P<0.05);before the operation,the two groups of spine Cobb′s angle and the anterior edge of the injured vertebra There was no difference in height comparison(P>0.05).After surgery,the study group was better than the control group(P<0.05);the total incidence of complications such as infection,deep vein thrombosis of the lower extremities and motor dysfunction in the study group was 3.33% compared with the control group 20.00 % Is lower(P<0.05).Conclusions In the clinical treatment of patients with spinal trauma,the use of minimally invasive spinal trauma surgery has a positive impact on shortening surgery and hospitalization time,reducing intraoperative bleeding,and reducing postoperative pain.At the same time,it may better improve imaging indicators,Significantly reduce the incidence of complications.
作者
徐建平
XU Jianping(The First People’s Hospital of Jiayuguan City,735199)
出处
《航空航天医学杂志》
2022年第3期267-270,共4页
Journal of Aerospace medicine
关键词
脊柱创伤
微创脊柱创伤手术
围术期指标
影像学指标
并发症
spinal trauma
minimally invasive spinal trauma surgery
perioperative indicators
imaging indicators
complications
