[1]龙 江,徐应堂.经皮微创脊柱内固定技术治疗创伤性胸腰椎骨折的疗效[J].医学信息,2020,33(07):109-110.[doi:10.3969/j.issn.1006-1959.2020.07.032]
　LONG Jiang,XU Ying-tang.Percutaneous Minimally Invasive Spinal Internal Fixation Technique for Traumatic Thoracolumbar Fractures[J].Medical Information,2020,33(07):109-110.[doi:10.3969/j.issn.1006-1959.2020.07.032]
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经皮微创脊柱内固定技术治疗创伤性胸腰椎骨折的疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年07期
页码:
109-110
栏目:
临床研究
出版日期:
2020-04-01

文章信息/Info

Title:
Percutaneous Minimally Invasive Spinal Internal Fixation Technique for Traumatic Thoracolumbar Fractures
文章编号:
1006-1959（2020）07-0109-02
作者:
龙 江; 徐应堂
（云南省昭通市中医医院骨科，云南 昭通 657000）
Author(s):
LONG Jiang; XU Ying-tang
(Department of Orthopedics,Zhaotong Traditional Chinese Medicine Hospital,Zhaotong 657000,Yunnan,China)
关键词:
经皮微创脊柱内固定; 创伤性; 胸腰椎骨折
Keywords:
Percutaneous minimally invasive spinal fixation; Traumatic; Thoracolumbar fractures
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2020.07.032
文献标志码:
A
摘要:
目的 观察经皮微创脊柱内固定技术在创伤性胸腰椎骨折治疗中的应用效果。方法 选取2017年2月~2019年2月在我院治疗的创伤性胸腰椎骨折患者52例，采用随机数字表法分为观察组和对照组，每组26例。对照组采用传统钉棒脊柱内固定治疗，观察组采用经皮微创脊柱内固定技术治疗，比较两组术中出血量、切口长度、手术时间、骨折愈合时间、术后VAS评分、Cobb’s角、伤椎椎体高度比及并发症发生情况。结果 观察组术中出血量、切口长度、手术时间、骨折愈合时间均低于对照组，差异有统计学意义（P＜0.05）；观察组术后VAS评分、Cobb’s角均小于对照组，差异有统计学意义（P＜0.05）；伤椎椎体高度比大于对照组，差异有统计学意义（P＜0.05）；随访6个月，观察组并发症发生率（7.89%）低于对照组（18.42%），差异有统计学意义（P＜0.05）。结论 经皮微创脊柱内固定技术治疗创伤性胸腰椎骨折疗效确切，术后疼痛轻，Cobb’s角丢失小，有助于促进骨折愈合。
Abstract:
Objective To observe the effect of percutaneous minimally invasive spinal internal fixation technique in the treatment of traumatic thoracolumbar fractures. Methods 52 patients with traumatic thoracolumbar fractures treated in our hospital from February 2017 to February 2019 were selected, and using the random number table method to divided into observation group and control group, with 26 cases in each group. The control group was treated with traditional screw-rod spinal internal fixation, and the observation group was treated with percutaneous minimally invasive spinal internal fixation. Comparison of intraoperative blood loss, incision length, operation time, fracture healing time, postoperative VAS score, Cobb’s angle, vertebral body height ratio and the occurrence of complications. Results The intraoperative blood loss, incision length, operation time, and fracture healing time of the observation group were all lower than that of the control group, the difference was statistically significant (P<0.05); The postoperative VAS score and Cobb’s angle of the observation group were less than the control group, the difference was statistically significant (P<0.05); the height ratio of the injured vertebral body was greater than the control group, the difference was statistically significant (P<0.05); follow-up for 6 months the incidence of complications in the observation group (7.89%) was lower than that in the control group (18.42%), the difference was statistically significant (P<0.05).Conclusion The percutaneous minimally invasive spinal internal fixation technique is effective in treating traumatic thoracolumbar fractures. The postoperative pain is light and the loss of Cobb’s angle is small, which helps promote fracture healing.

参考文献/References:

[1]潘益山,李国庆.Sextant经皮微创脊柱内固定治疗创伤性胸腰椎骨折的临床观察[J].西南国防医药,2016,26(8):926-928. [2]唐俊,黄克.经皮微创脊柱椎弓根钉棒系统附加伤椎内固定治疗胸腰椎骨折[J].现代中西医结合杂志,2014,22(28):3111-3112. [3]张锦,佘青,王新虎.经椎旁肌间隙与微创经皮入路手术治疗胸腰椎骨折后的肌肉损伤、炎症反应及骨代谢评估[J].海南医学院学报,2017,23(15):2082-2085,2089. [4]杨贤玉,张长江,李来好,等.经皮微创置入椎弓根螺钉内固定治疗胸腰椎骨折的临床疗效及对机体应激水平的影响[J].临床和实验医学杂志,2015,14(14):1173-1176,1177. [5]王利民,戴冠东,刘国辉.经椎旁肌间隙入路结合伤椎置钉技术治疗胸腰椎骨折的疗效分析[J].临床外科杂志,2016,24(6):463-466.

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更新日期/Last Update: 2020-04-01