经皮微创脊柱椎弓根钉棒系统内固定对胸腰椎骨折的效果分析(1)
[摘要] 目的 探讨经皮微创脊柱椎弓根钉棒系统内固定对胸腰椎骨折的效果。方法 便利抽取2016年6月—2017年12月来该院就诊的胸腰椎骨折患者82例作为该次的研究对象，其中对常规组(n=41)采取4钉内固定术治疗，对实验组(n=41)采取经皮微创脊柱椎弓根钉棒系统内固定治疗，对比两组患者的治疗效果。结果 实验组患者的手术耗时[(108.45±3.55)min]、住院时间[(10.25±3.01)d]、开始自主活动时间[(6.08±1.63)d]均明显短于常规组，实验组患者的术中出血量[(182.20±19.47)mL]明显少于常规组(P=0.000 0)；实验组ASIA评分[(9.78±0.56)分]明显高于常规组(P=0.000 0)；实验组与常规组的并发症发生率分别为7.32%与31.71%，(χ2=7.765 2，P=0.005 0)。结论 对胸腰椎骨折患者采取经皮微创脊柱椎弓根钉棒系统内固定治疗的效果显著，便于降低术后并发症发生率，缩短手术耗时，保证优良的手术治疗效果。
[关键词] 经皮微创脊柱椎弓根钉棒系统内固定；治疗；胸腰椎骨折
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2018)05(c)-0045-03
[Abstract] Objective This paper tries to investigate the effect of percutaneous minimally invasive spinal pedicle screw system internal fixation on thoracolumbar fractures. Methods 82 patients with thoracolumbar fractures who came to the hospital from June 2016 to December 2017 were convenient selected as the subject of this study. Among them， 4 nails were used to treat the conventional group(n=41). The experimental group(n=41) was treated with a percutaneous minimally invasive spinal pedicle screw system to compare the therapeutic effect of the two groups of patients. Results The operation time of patients in the experimental group [(108.45±3.55)min]， length of hospital stay [(10.25±3.01)d]， and time of starting autonomy [(6.08±1.63)d] were all significantly shorter than those of the routine group. The intraoperative blood loss [(182.20±19.47)mL] was significantly less than the conventional group(P=0.000 0)； the ASIA score in the experimental group [(9.78±0.56)points] was significantly higher than the conventional group(P=0.000 0)； the experimental group and the conventional group of the incidence of complications was 7.32% and 31.71%， respectively(χ2=7.765 2，P=0.005 0). Conclusion The use of percutaneous minimally invasive spine pedicle screw system internal fixation for patients with thoracolumbar fractures has significant effect， which is easy to reduce the incidence of postoperative complications， shorten the operation time， and ensure excellent surgical treatment.
[Key words] Percutaneous minimally invasive spine pedicle screw system internal fixation； Treatment； Thoracolumbar fracture
胸腰椎骨折屬于常见的一类脊柱损伤类疾病，是由于严重的创伤引发，以脊柱稳定性突然下降作为主要的临床症状，某些患者甚至还会出现脊髓神经功能受损情况[1-2]。目前临床上对该类疾病患者主要采取经皮微创治疗方案，为了对其治疗效果进行更加深入的分析，该次研究便利抽取了2016年6月—2017年12月来该院就诊的胸腰椎骨折患者82例，并对实验组采取经皮微创治疗方案，分析其应用价值，现报道如下。
1 资料与方法
1.1 一般资料
便利抽取来该院就诊的胸腰椎骨折患者82例作为该次的研究对象，所有患者对该次研究均知情同意，疾病均获得明确的诊断。
依照入院时间的次序进行分组，每组均占据41例。常规组：男性与女性分别占据22例与19例，年龄区间为22～69岁，平均(45.20±3.21)岁；受伤原因：8例交通事故伤，12例坠落伤，15例重物砸伤，6例挤压伤；受伤至入院平均耗时为(2.55±2.02)h；受伤部位：11例胸12椎骨折，10例胸11椎骨折，9例腰1椎骨折，11例腰2椎骨骨折。实验组：男性与女性分别占据23例与18例，年龄区间为21～68岁，平均(45.47±3.15)岁；受伤原因：6例交通事故伤，11例坠落伤，16例重物砸伤，8例挤压伤；受伤至入院平均耗时为(2.41±2.05)h；受伤部位：10例胸12椎骨折，12例胸11椎骨折，10例腰1椎骨折，9例腰2椎骨骨折。对比两组患者的一般资料，差异无统计学意义(P>0.05)，可比性良好。该研究经医院伦理委员会批准，并与患者自愿签署知情同意书。, http://www.100md.com(徐绍德)
[关键词] 经皮微创脊柱椎弓根钉棒系统内固定；治疗；胸腰椎骨折
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2018)05(c)-0045-03
[Abstract] Objective This paper tries to investigate the effect of percutaneous minimally invasive spinal pedicle screw system internal fixation on thoracolumbar fractures. Methods 82 patients with thoracolumbar fractures who came to the hospital from June 2016 to December 2017 were convenient selected as the subject of this study. Among them， 4 nails were used to treat the conventional group(n=41). The experimental group(n=41) was treated with a percutaneous minimally invasive spinal pedicle screw system to compare the therapeutic effect of the two groups of patients. Results The operation time of patients in the experimental group [(108.45±3.55)min]， length of hospital stay [(10.25±3.01)d]， and time of starting autonomy [(6.08±1.63)d] were all significantly shorter than those of the routine group. The intraoperative blood loss [(182.20±19.47)mL] was significantly less than the conventional group(P=0.000 0)； the ASIA score in the experimental group [(9.78±0.56)points] was significantly higher than the conventional group(P=0.000 0)； the experimental group and the conventional group of the incidence of complications was 7.32% and 31.71%， respectively(χ2=7.765 2，P=0.005 0). Conclusion The use of percutaneous minimally invasive spine pedicle screw system internal fixation for patients with thoracolumbar fractures has significant effect， which is easy to reduce the incidence of postoperative complications， shorten the operation time， and ensure excellent surgical treatment.
[Key words] Percutaneous minimally invasive spine pedicle screw system internal fixation； Treatment； Thoracolumbar fracture
胸腰椎骨折屬于常见的一类脊柱损伤类疾病，是由于严重的创伤引发，以脊柱稳定性突然下降作为主要的临床症状，某些患者甚至还会出现脊髓神经功能受损情况[1-2]。目前临床上对该类疾病患者主要采取经皮微创治疗方案，为了对其治疗效果进行更加深入的分析，该次研究便利抽取了2016年6月—2017年12月来该院就诊的胸腰椎骨折患者82例，并对实验组采取经皮微创治疗方案，分析其应用价值，现报道如下。
1 资料与方法
1.1 一般资料
便利抽取来该院就诊的胸腰椎骨折患者82例作为该次的研究对象，所有患者对该次研究均知情同意，疾病均获得明确的诊断。
依照入院时间的次序进行分组，每组均占据41例。常规组：男性与女性分别占据22例与19例，年龄区间为22～69岁，平均(45.20±3.21)岁；受伤原因：8例交通事故伤，12例坠落伤，15例重物砸伤，6例挤压伤；受伤至入院平均耗时为(2.55±2.02)h；受伤部位：11例胸12椎骨折，10例胸11椎骨折，9例腰1椎骨折，11例腰2椎骨骨折。实验组：男性与女性分别占据23例与18例，年龄区间为21～68岁，平均(45.47±3.15)岁；受伤原因：6例交通事故伤，11例坠落伤，16例重物砸伤，8例挤压伤；受伤至入院平均耗时为(2.41±2.05)h；受伤部位：10例胸12椎骨折，12例胸11椎骨折，10例腰1椎骨折，9例腰2椎骨骨折。对比两组患者的一般资料，差异无统计学意义(P>0.05)，可比性良好。该研究经医院伦理委员会批准，并与患者自愿签署知情同意书。, http://www.100md.com(徐绍德)