摘要
目的分析胸腰椎骨折患者行经皮微创脊柱椎弓根钉棒系统内固定治疗的临床疗效。方法 60例胸腰椎骨折患者,随机分为实验组与对照组,每组30例。对照组患者采用临床常规的4钉内固术进行治疗,实验组患者采用经皮微创脊柱椎弓根钉棒系统内固定治疗。比较两组患者的临床效果。结果实验组患者的手术时间、住院时间、术中出血量、开始自主活动时间美国脊髓损伤协会(ASIA)评分均明显优于对照组(P<0.05)。实验组患者的并发症发生率为10.0%(3/30),明显低于对照组的43.3%(13/30),差异具有统计学意义(P<0.05)。结论经皮微创脊柱椎弓根钉棒系统内固定治疗胸腰椎骨折的临床效果明显,疗效显著,患者术后恢复快,能大幅度降低患者的并发症发生率,值得在临床上推广应用。
Objective To analyze clinical effect by percutaneous minimally invasive spinal root nail stick internal fixation in the treatment of thoracolumbar vertebral fracture. Methods A total of 60 patients with thoracolumbar vertebral fracture were randomly divided into experimental group and control group, with 30 cases in each group. The control group received conventional 4 nails internal fixation for treatment, and the experimental group received percutaneous minimally invasive spinal root nail stick internal fixation for treatment. Clinical effects were compared between the two groups. Results The experimental group had all better operation time, hospital stay time, autonomic activities start time, and American Spinal Injury Association（ASIA）score than the control group（P〈0.05）. The experimental group had obviously lower incidence of complications as 10.0%（3/30）than 43.3%（13/30）in the control group, and the difference had statistical significance（P〈0.05）. Conclusion Percutaneous minimally invasive spinal root nail stick internal fixation shows excellent clinical effect in treating thoracolumbar vertebral fracture. This method shows precise curative effects, quick postoperative rehabilitation, and significantly decreased incidence of complications. It is worth clinical promotion and application.
出处
《中国实用医药》
2016年第33期75-76,共2页
China Practical Medicine
关键词
经皮微创脊柱椎弓根钉棒系统内固定
胸腰椎骨折
临床疗效
Percutaneous minimally invasive spinal root nail stick internal fixation
Thoracolumbar vertebral fracture
Clinical effect
