李学颖

    【摘要】 目的：探究非椎板減压椎弓根螺钉撑开复位治疗腰椎爆裂性骨折的效果及对机体创伤应激的影响。方法：选取2017年12月-2019年10月收治的80例腰椎爆裂性骨折患者为研究对象，将其随机分为对照组(采取椎板减压治疗)和观察组(采取非椎板减压椎弓根螺钉撑开复位)，每组40例。比较两组的术中出血量、手术时间和手术前后的椎体参数、神经损伤相关指标及创伤应激指标。结果：观察组的术中出血量显著少于对照组，手术时间显著短于对照组，差异均有统计学意义(P0.05);术后6、12周，两组的椎体参数及神经损伤相关指标比较，差异均无统计学意义(P>0.05);术后3、7 d，观察组的创伤应激指标均显著低于对照组，差异均有统计学意义(P0.05); the vertebral body parameters and nerve injury related indexes of two groups at 6 and 12 weeks after the operation were compared， there were no statistically significant differences (P>0.05); the traumatic stress indexes of the observation group at 3 and 7 d after the operation were significantly lower than those of control group ......