摘要
目的探究微创经皮椎弓根置钉治疗无神经损伤胸腰椎骨折的临床疗效。方法随机选择2019年3月—2021年3月广东医科大学附属东莞第一医院收治的60例无神经损伤胸腰椎骨折患者,根据不同治疗方法分为参照组(行传统开放置钉治疗,30例)与研究组(行微创经皮椎弓根置钉治疗,30例),比较两组患者手术指标及手术前后临床指标。结果研究组手术出血量少于参照组,手术切口、首次下床活动时间、手术时间短于参照组,差异有统计学意义(P<0.05)。术后,研究组椎体前缘高度比值(98.17±3.42)%、矢状面指数(97.36±2.47)%高于参照组,Cobb角(3.63±0.67)°小于参照组,差异有统计学意义(t=6.846、4.701、7.926,P<0.05)。结论微创经皮椎弓根置钉治疗无神经损伤胸腰椎骨折患者的效果较显著。
Objective To explore the clinical efficacy of minimally invasive percutaneous pedicle nailing in the treatment of thoracic and lumbar fractures without nerve injury.Methods A total of 60 patients with thoracic and lumbar fracture without nerve injury admitted to the First Hospital of Dongguan Affiliated to Guangdong Medical University from March 2019 to March 2021 were randomly selected and divided into a reference group(30 cases with traditional nail placement)and a study group(minimally invasive percutaneous pedicle nail treatment,30 cases)according to different treatments,and the surgical indicators and clinical indicators before and after surgery were compared between the two groups.Results The surgical bleeding in the study group was less than that in the reference group,and the surgical incision,first time out of bed activity time,and operation time were shorter than those in the reference group,and the differences was statistically significant(P<0.05).After surgery,the anterior edge height ratio(98.17±3.42)% and sagittal index of vertebral bodies(97.36±2.47)% in the study group were higher than those in the reference group,and the Cobb angle(3.63±0.67)°was smaller than that in the reference group,and the difference was statistically significant(t=6.846,4.701,7.926,P<0.05).Conclusion Minimally invasive percutaneous pedicle nailing has a significant effect in the treatment of patients with thoracic and lumbar fracture without nerve injury.
作者
刘毅
LIU Yi(Department of Orthopedics,the First Affiliated Dongguan Hospital of Guangdong Medical University,Dongguan,Guangdong Province,523721 China)
出处
《中外医疗》
2023年第3期45-47,52,共4页
China & Foreign Medical Treatment
关键词
微创经皮椎弓根置钉
胸腰椎骨折
COBB角
Minimally invasive percutaneous pedicle screw placement
Thoracolumbar fracture
Cobb angle
作者简介
刘毅(1982-),男,本科,副主任中医师,主要从事临床骨科方面工作。
