摘要
目的探讨微创手术与传统手术治疗脊柱创伤的疗效及并发症发生情况。方法96例脊柱创伤患者,随机分为观察组及对照组,每组48例。观察组采用微创手术治疗,对照组采用传统手术治疗。比较两组患者手术指标(手术时间、术中出血量、切口长度、住院时间及治疗后Cobb角、椎体前缘高度),术后并发症发生率。结果观察组手术时间(123.7±10.3)min、切口长度(21.6±4.4)mm、住院时间(7.9±2.1)d均短于对照组的(175.8±12.4)min、(108.7±0.8)mm、(14.2±3.7)d,术中出血量(108.2±8.9)ml少于对照组的(251.3±13.5)ml,差异具有统计学意义(P<0.05);两组治疗后Cobb角、治疗后椎体前缘高度比较,差异无统计学意义(P>0.05)。观察组患者的术后并发症发生率10.42%低于对照组的46.67%,差异具有统计学意义(P<0.05)。结论脊柱创伤采用微创手术治疗可以精准确认手术位置,缩短手术切口、手术时间和住院时间,减少术中出血量,且术后并发症发生率低,具有较好的疗效和安全性,值得广泛推广。
Objective To discuss the efficacy and occurrence of complications of minimally invasive surgery and conventional surgery in the treatment of spinal trauma.Methods A total of 96 patients with spinal trauma were randomly divided into observation group and control group,with 48 cases in each group.The observation group was treated with minimally invasive surgery,while the control group was treated with conventional surgery.Both groups were compared in terms of surgical indicators(operation time,intraoperative blood loss,incision length,hospital stay,Cobb angle and anterior vertebral body height after treatment)and the incidence of postoperative complications.Results The operation time(123.7±10.3)min,the incision length(21.6±4.4)mm,and the hospital stay(7.9±2.1)d in the observation group were all shorter than(175.8±12.4)min,(108.7±0.8)mm,(14.2±3.7)d in the control group;the intraoperative blood loss(108.2±8.9)ml in the observation group was less than(251.3±13.5)ml in the control group;the differences were all statistically significant(P<0.05).There was no statistically significant difference in the Cobb angle and anterior vertebral body height after treatment between the two groups(P>0.05).The incidence of postoperative complications 10.42%in the observation group was lower than 46.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion Minimally invasive surgery for spinal trauma can precisely confirm the surgical position to shorten the surgical incision,operation time and hospital stay,and reduce intraoperative blood loss with low incidence of postoperative complications,which has better efficacy and safety and is worthy of wide promotion.
作者
邓文军
DENG Wen-jun(CITIC Huizhou Hospital,Huizhou 516000,China)
出处
《中国实用医药》
2022年第21期69-71,共3页
China Practical Medicine
关键词
微创手术
传统手术
脊柱创伤
疗效
Minimally invasive surgery
Conventional surgery
Spinal trauma
Efficacy
