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外科研究与新技术（中英文）

外科研究与新技术 ›› 2020, Vol. 9 ›› Issue (2): 82-84.doi: 10.3969/j.issn.2095-378X.2020.02.003

• 论著 • 上一篇    下一篇

经皮椎弓根螺钉在胸腰段脊柱骨折治疗中的应用效果分析

曾波, 刘竞龙, 李培浩, 庄杰辉, 蔡俊东, 李泽钿, 林杰浩   

  1. 中国人民解放军海军陆战队医院创伤骨科二病区,广东 潮州 521000
  • 收稿日期:2020-05-15 出版日期:2020-06-28 发布日期:2020-09-16
  • 通讯作者: 刘竞龙,电子信箱：13828321589@139.com
  • 作者简介:曾波（1976—）,男,硕士研究生,副主任医师,从事临床创伤骨科、脊柱外科工作

Effect of percutaneous pedicle screw on thoracolumbar spinal fracture

ZENG Bo, LIU Jinglong, LI Peihao, ZHUANG Jiehui, CAI Jundong, LI Zedian, LIN Jiehao   

  1. Second Ward of Orthopaedic Trauma, Marine Corps Hospital of Chinese People’s Liberation Army, Chaozhou 521000, Guangdong, China
  • Received:2020-05-15 Online:2020-06-28 Published:2020-09-16

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摘要： 目的 探讨经皮椎弓根螺钉在胸腰段脊柱骨折治疗中的应用效果。方法 选取2017年1月—2019年9月收治的326例胸腰段脊柱骨折患者随机分为传统组（163例,采用传统开放椎弓根螺钉内固定术）和微创组（163例,采用经皮椎弓根螺钉内固定术）。对比两组效果。结果 微创组术中出血量显著少于传统组（P<0.05）,两组手术时间及手术优良率比较差异不显著（P>0.05）。经治疗两组VAS、ODI均得到显著改善（P<0.05）,且治疗后微创组VAS、ODI得分显著低于传统组（P<0.05）;传统组并发症发生率显著高于微创组（P<0.05）。结论 经皮椎弓根螺钉内固定术近期疗效与传统开放手术相当,但可显著改善患者术后胸腰椎功能恢复,减轻术后疼痛及并发症发生,值得临床借鉴推广。

关键词: 胸腰段脊柱骨折, 椎弓根螺钉内固定术, 微创, 功能恢复, 疼痛

Abstract: Objective To investigate the effect of percutaneous pedicle screw on thoracolumbar spinal fracture. Methods A total of 326 patients with thoracolumbar spinal fractures treated in our hospital from January 2017 to September 2019 were randomly divided into two groups: traditional group (163 cases, treated with traditional open pedicle screw fixation) and minimally invasive group (163 cases, treated with percutaneous pedicle screw fixation). The effects of the two groups were compared. Results The amount of intraoperative bleeding in the minimally invasive group was significantly less than that in the traditional group (P<0.05), and there were no significant differences in operation time and excellent and good operation rate between the two groups (P>0.05). After treatment, the VAS and ODI scores of the two groups were significantly improved, and the scores after treatment in the minimally invasive group were significantly lower than those in the traditional group (P<0.05); the incidence rate of complications in the traditional group was significantly higher than that in the minimally invasive group (P<0.05). Conclusion The short-term effect of percutaneous pedicle screw fixation is similar to that of traditional open surgery, but it can significantly improve the recovery of postoperative thoracolumbar function and reduce postoperative pain and complications, which is worthy of clinical promotion.

Key words: Thoracolumbar spinal fracture, Pedicle screw fixation, Minimally invasive, Functional recovery, Pain

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