杜绍欢 陈万安

    【摘要】 目的：探究經皮椎弓根内固定在无神经损伤胸腰椎骨折中的疗效及对脊柱稳定性的影响。方法：将2021年10月—2023年1月汕头市澄海区人民医院收治的82例无神经损伤胸腰椎骨折患者根据随机数字表法分为对照组(n=41)和观察组(n=41)。对照组进行开放椎弓根内固定治疗，观察组进行经皮椎弓根内固定治疗。比较两组优良率、手术时间、切口长度、术中出血量、住院时间、并发症发生率，以及手术前后的疼痛程度[语言分级评分法(VRS)]和脊柱稳定性(伤椎前、后缘高度比、矢状面指数及后凸Cobb角)。结果：两组优良率比较，差异无统计学意义(P>0.05)；观察组的手术时间、住院时间及切口长度均显著短于对照组，术中出血量显著少于对照组，并发症发生率显著低于对照组，差异均有统计学意义(P0.05)；术后1、4、12周，观察组的VRS评分均显著低于对照组，差异均有统计学意义(P0.05)。结论：经皮椎弓根内固定可减轻手术创伤，有效促进无神经损伤胸腰椎骨折患者的术后恢复，疗效确切，对脊柱稳定性的效果与开放手术相近。

    【关键词】 经皮椎弓根内固定 胸腰椎骨折 脊柱稳定性

    Effect of Percutaneous Vertebral Pedicle Internal Fixation on Thoracic and Lumbar Spine Fracture without Nerve Injury and Its Influence on Spinal Stability/DU Shaohuan， CHEN Wanan. //Medical Innovation of China， 2024， 21(07)： 00-005

    [Abstract] Objective： To investigate the effect of percutaneous vertebral pedicle internal fixation on thoracic and lumbar spine fracture without nerve injury and its influence on spinal stability. Method： A total of 82 patients with thoracic and lumbar spine fracture without nerve injury admitted to People's Hospital of Chenghai Shantou from October 2021 to January 2023 were divided into control group (n=41) and observation group (n=41) according to random number table method. The control group was treated with open vertebral pedicle internal fixation and the observation group was treated with percutaneous vertebral pedicle internal fixation. The excellent and good rate ......