窦庆寅+仰明莉+谢晓萍

    [摘要] 目的 探讨经皮椎弓根钉治疗胸腰段骨折的临床效果。 方法 选取2014年12月～2016年1月深圳市松岗人民医院收治的140例行经皮椎弓根钉固定治疗的胸腰段骨折患者作为研究组，另选取同期收治的100例行传统开放式手术治疗的胸腰段骨折患者作为对照组。比较两组患者术中出血量、手术时间、切口长度及手术疗效等。 结果 研究组的手术时间、切口长度、住院时间明显短于对照组，引流量、术中出血量明显少于对照组，差异均有统计学意义(P 0.05)。与术前1 d比较，两组术后1周的视觉模拟评分(VAS)评分明显降低，术后6个月的Oswestry功能障碍指数(ODI)评分也明显降低，差异均有统计学意义(P 0.05)。 结论 经皮椎弓根钉固定术是一种微创手术，具有出血少、创伤小、疗效好、恢复快等优点，是治疗胸腰段骨折的理想术式。

    [关键词] 胸腰段骨折；经皮椎弓根钉；脊柱骨折；微创；疗效

    [中图分类号] R687.3 [文献标识码] A [文章编号] 1673-7210(2016)10(c)-0095-04

    [Abstract] Objective To discuss the effect of percutaneous pedicle screw in treatment of thoracolumbar fractures. Methods One hundred and forty patients with thoracolumbar fracture treated with percutaneous pedicle screw fixation treatment in Songgang Peoples Hospital of Shenzhen City from December 2014 to January 2016 were selected as the study objects， 100 patients with thoracolumbar fracture were given conventional open surgical treatment were selected as the control group at the same time. The amount of bleeding ......