摘要
目的探讨经椎旁肌间隙入路治疗胸腰椎骨折的手术方法及临床疗效。方法 2007年6月至2010年6月52例无神经损伤表现的胸腰椎骨折患者行后路切开复位内固定术。采用经椎旁肌间隙入路27例;传统后正中入路25例。结果两组患者伤椎Cobb角的矫正度上差异无统计学意义(P>0.05),而经椎旁肌间隙入路手术在手术时间、术中出血量、术后引流量、术后下床时间、疼痛视觉模拟评分(VAS)及Oswestry功能障碍指数(ODI)等方面具有显著优势,差异有统计学意义(P<0.05)。所有患者均获得随访,平均随访时间20.4个月,所有患者的伤椎全部愈合,内固定无松动、断裂。结论经椎旁肌间隙入路治疗胸腰椎骨折具有创伤小、出血少和恢复快等优点,是一种安全实用的手术方法,疗效满意。
Objective To evaluate the method and clinical results of the treatment of thoracic and lumbar spine fractures through paraspinal muscle approach.Methods From June 2007 to June 2010,a total of 52 cases of non-neurological symptoms patients with thoracic and lumbar spine fractures underwent posterior open reduction and internal fixation.27 patients were treated with the pa-raspinal muscle approach,25 patients were treated with the traditional approach.Results No significant differences were found in the correction of Cobb′s angle between the two groups（P〉0.05）.Compared to the traditional approach,the paraspinal muscle ap-proach was significantly advantageous in terms of operation time,the amount of bleeding,postoperative drainage,duration of recum-bence,pain visual analogue score and Oswestry disability index.All patients were followed up for average 20.4 months.All patients with vertebral fractures were healed untill the last follow-up.No loosening or breakage of the internal fixation had occured.Conclu-sion The treatment of thoracic and lumbar spine fractures through paraspinal muscle approach is a safe and practical method of less invasion,less bleeding and rapid recovery and clinical results are satisfactory.
出处
《重庆医学》
CAS
CSCD
北大核心
2014年第13期1557-1559,共3页
Chongqing medicine
关键词
脊柱骨折
椎旁肌间隙入路
治疗结果
spine fractures
paraspinal muscle approach
treatment ontcome
