比较微创经皮椎弓根螺钉内固定与开放椎弓根螺钉内固定治疗胸腰椎骨折的疗效(1)
DOI：10.16662/j.cnki.1674-0742.2019.35.010
[摘要] 目的 探討微创经皮椎弓根螺钉内固定与开放椎弓根螺钉内固定治疗胸腰椎骨折的疗效。方法 研究时间为：2015年1月—2019年3月，研究观察对象为方便选取该院收治的50例胸腰椎骨折患者，将其以随机法分为对照组(开放椎弓根螺钉内固定)与研究组(微创经皮椎弓根螺钉内固定)，评判标准：各手术指标、影像学参数及并发症发生率。 结果 研究组患者的切口长度(10.20±3.59)cm、手术时间(108.27±26.96)min、术中出血量(88.11±13.11)mL、术后引流量(30.73±11.81)mL、住院时间(6.56±1.66)d及术后下地时间(6.65±1.17)d指标均优于对照组(t=5.102、3.622、10.708、15.942、10.333、13.442，P<0.05)。两组患者术前的后凸Cobb’s、矢状面指数及椎体前缘高度比值指标差异无统计学意义(t=0.342、0.094、0.081，P>0.05);研究组患者术后的后凸Cobb’s(9.04±2.51)°、矢状面指数(93.28±8.97)%及椎体前缘高度(96.49±10.14)%比值指标均优于对照组(t=2.495、2.289、2.194，P<0.05)。研究组患者术后发生并发症机率的4.00%明显低于对照组的28.00%(χ2=5.357，P<0.05)。 结论 微创经皮椎弓根螺钉内固定治疗的实施可有效的减少手术创伤性，提高治疗效果，值得推广。
[关键词] 微创;开放;椎弓根螺钉;内固定;胸腰椎骨折
[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742(2019)12(b)-0010-04
Comparison of Minimally Invasive Percutaneous Pedicle Screw Fixation and Open Pedicle Screw Fixation for Thoracolumbar Fractures
YU Zong-jian
Department of Orthopaedics， Handan District Hospital， Lianyungang， Jiangsu Province， 222100， China
[Abstract] Objective To evaluate the efficacy of minimally invasive percutaneous pedicle screw fixation and open pedicle screw fixation for thoracolumbar fractures. Methods The study time was from January 2015 to March 1919. The study subjects were： 50 patients with thoracolumbar fractures admitted to our hospital. They were randomly divided into control group (open pedicle screw fixation). With the study group (minimally invasive percutaneous pedicle screw fixation)， the criteria were： surgical index， imaging parameters and complication rate. Results Incision length(10.20±3.59)cm， operation time (108.27±26.96) min， intraoperative blood loss(88.11±13.11) mL， postoperative drainage(30.73±11.81)mL， hospitalization time (6.56±1.66) d and postoperative time(6.65±1.17)d were better than the control group(t=5.102， 3.622， 10.708， 15.942， 10.333， 13.442，P<0.05). There were no significant differences between the two groups in preoperative kyphosis Cobb's， sagittal plane index and vertebral body height ratio index(t=0.342， 0.094， 0.081， P>0.05); postoperative kyphosis Cobb's (9.04±2.51)°， sagittal plane index (93.28±8.97)%， and vertebral body height (96.49±10.14)% ratio were better than the control group. (t=2.495， 2.289， 2.194， P<0.05). The incidence of postoperative complications in the study group(4.00%) was significantly lower than that of the control group by 28.00%(χ2=5.357， P<0.05). Conclusion The minimally invasive percutaneous pedicle screw fixation can effectively reduce the trauma of surgery and improve the therapeutic effect. It is worthy of promotion., 百拇医药(于宗建)
[摘要] 目的 探討微创经皮椎弓根螺钉内固定与开放椎弓根螺钉内固定治疗胸腰椎骨折的疗效。方法 研究时间为：2015年1月—2019年3月，研究观察对象为方便选取该院收治的50例胸腰椎骨折患者，将其以随机法分为对照组(开放椎弓根螺钉内固定)与研究组(微创经皮椎弓根螺钉内固定)，评判标准：各手术指标、影像学参数及并发症发生率。 结果 研究组患者的切口长度(10.20±3.59)cm、手术时间(108.27±26.96)min、术中出血量(88.11±13.11)mL、术后引流量(30.73±11.81)mL、住院时间(6.56±1.66)d及术后下地时间(6.65±1.17)d指标均优于对照组(t=5.102、3.622、10.708、15.942、10.333、13.442，P<0.05)。两组患者术前的后凸Cobb’s、矢状面指数及椎体前缘高度比值指标差异无统计学意义(t=0.342、0.094、0.081，P>0.05);研究组患者术后的后凸Cobb’s(9.04±2.51)°、矢状面指数(93.28±8.97)%及椎体前缘高度(96.49±10.14)%比值指标均优于对照组(t=2.495、2.289、2.194，P<0.05)。研究组患者术后发生并发症机率的4.00%明显低于对照组的28.00%(χ2=5.357，P<0.05)。 结论 微创经皮椎弓根螺钉内固定治疗的实施可有效的减少手术创伤性，提高治疗效果，值得推广。
[关键词] 微创;开放;椎弓根螺钉;内固定;胸腰椎骨折
[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742(2019)12(b)-0010-04
Comparison of Minimally Invasive Percutaneous Pedicle Screw Fixation and Open Pedicle Screw Fixation for Thoracolumbar Fractures
YU Zong-jian
Department of Orthopaedics， Handan District Hospital， Lianyungang， Jiangsu Province， 222100， China
[Abstract] Objective To evaluate the efficacy of minimally invasive percutaneous pedicle screw fixation and open pedicle screw fixation for thoracolumbar fractures. Methods The study time was from January 2015 to March 1919. The study subjects were： 50 patients with thoracolumbar fractures admitted to our hospital. They were randomly divided into control group (open pedicle screw fixation). With the study group (minimally invasive percutaneous pedicle screw fixation)， the criteria were： surgical index， imaging parameters and complication rate. Results Incision length(10.20±3.59)cm， operation time (108.27±26.96) min， intraoperative blood loss(88.11±13.11) mL， postoperative drainage(30.73±11.81)mL， hospitalization time (6.56±1.66) d and postoperative time(6.65±1.17)d were better than the control group(t=5.102， 3.622， 10.708， 15.942， 10.333， 13.442，P<0.05). There were no significant differences between the two groups in preoperative kyphosis Cobb's， sagittal plane index and vertebral body height ratio index(t=0.342， 0.094， 0.081， P>0.05); postoperative kyphosis Cobb's (9.04±2.51)°， sagittal plane index (93.28±8.97)%， and vertebral body height (96.49±10.14)% ratio were better than the control group. (t=2.495， 2.289， 2.194， P<0.05). The incidence of postoperative complications in the study group(4.00%) was significantly lower than that of the control group by 28.00%(χ2=5.357， P<0.05). Conclusion The minimally invasive percutaneous pedicle screw fixation can effectively reduce the trauma of surgery and improve the therapeutic effect. It is worthy of promotion., 百拇医药(于宗建)