目的 探讨临床护理路径对脊柱转移瘤行小切口徒手置钉微创分离术患者手术效果及预后的影响。方法 选取2019年5月—12月脊柱转移瘤患者行小切口徒手置钉微创分离手术49例患者,对照组行常规护理,研究组联合临床护理路径进行护理,对比两组患者手术效果、治疗前后视觉模拟评分法（visual analogue scale/score, VAS）评分以及生活质量的差异。结果 治疗后手术有效率为72.0%（研究组）和66.7%（对照组）,研究组整体疗效较对照组优（P<0.05）;治疗前VAS评分组间比较差异不显著（P>0.05）,治疗2个月后研究组VAS评分较对照组更低（P<0.05）;治疗后两组患者较治疗前各维度评分均出现显著提升（P<0.05）,研究组患者社会功能等各维度评分较对照组更高（P<0.05）。结论 采用临床护理路径可保证手术效果,降低术后疼痛,提升患者整体的生活质量。

Objective To explore the influence of clinical nursing pathway on the operation effect and prognosis of patients with spinal metastases undergoing minimally invasive surgery with small incision and freehand nail placement. Methods From May to December in 2019, 49 patients with spinal metastases underwent minimally invasive surgery with small incision and bare hand nail placement. The control group received routine nursing, while the study group received routine nursing combined with clinical nursing pathway. The operation effect, Visual Analogue Scale/Score （VAS）, and quality of life of the two groups were compared. Results After treatment, the effective rates of operation were 72.0% （study group） and 66.7% （control group）, and the overall effect of the study group was better than that of the control group （P<0.05）. There was no significant difference in VAS score between the two groups before treatment （P>0.05）, and after 2 months of treatment, the VAS score of the study group was lower than that of the control group （P<0.05）. After treatment, the scores of each dimension of quality of life in the two groups were significantly improved compared with those before treatment （P<0.05）, and the scores of social function and other dimensions in the study group were higher than those in the control group （P<0.05）. Conclusion Clinical nursing pathway can ensure the effect of surgery, reduce postoperative pain, and improve the overall quality of life of patients.