摘要
目的比较微创脊柱创伤手术与传统开放手术治疗脊柱创伤患者的效果。方法选取脊柱创伤患者120例,按入院顺序分为对照组与观察组各60例。对照组采用传统开放手术,观察组采用微创脊柱创伤手术。比较2组患者的治疗效果、手术时间、术中出血量、术后住院时间、术后活动时间、疼痛评分、手术前后脊柱Cobb角、前缘压缩高度、术后并发症发生情况和脊髓损伤Frankel分级。结果观察组总有效率显著高于对照组(P<0.05);观察组手术时间、术中出血量、术后住院时间、术后活动时间和疼痛评分显著优于对照组(P<0.05);观察组治疗后脊柱Cobb角和前缘压缩高度均显著小于对照组(P<0.05);观察组术后并发症发生率显著低于对照组(P<0.05);2组患者治疗后随访3个月发现,观察组E级比例显著高于对照组(P<0.05)。结论与传统开放手术比较,微创脊柱创伤手术的疗效确切,手术时间和住院时间短,术中出血量少,患者恢复快,并发症发生率低。
Objective To compare the effect of minimally invasive spinal surgery and traditional open surgery in the treatment of spinal trauma.Methods A total of 120 spinal trauma patients were selected and randomly divided into control group and observation group according to order of hospital admission,with 60 cases in each group.The control group was treated with traditional open surgery,while the observation group was treated with minimally invasive spinal surgery.Therapeutic effect,operation time,intra-operative blood loss,postoperative hospital stay,postoperative activity time,pain score,Cobb angle and anterior compression height before and after surgery,complications and Frankel classification of spinal cord injury were compared between two groups.Results The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).The operation time,intra-operative bleeding volume,postoperative hospital stay,postoperative activity time and pain score of the observation group were significantly better than those of the control group(P<0.05).The Cobb angle and anterior compression height of the spine in the observation group were significantly lower than those of the control group after treatment(P<0.05).The incidence rate of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).After 3 months of follow-up,the proportion of grade E in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Compared with traditional open surgery,minimally invasive spinal surgery has definite curative effect,shorter operation time and hospitalization time,less intra-operative bleeding,faster recovery and lower incidence rate of complications.
作者
杨涛
蔺啸
思玉楼
杨文学
刘阳
YANG Tao;LIN Xiao;SI Yulou;YANG Wenxue;LIU Yang(The First Department of Orthopedics,The Fourth (Xingyuan) Hospital of Yulin,Yulin,Shaanxi,719000;Depaetrment of Pharmacy,Yulin Hospital of Traditional Chinese Medicine,Yulin,Shaanxi,719000)
出处
《实用临床医药杂志》
CAS
2019年第18期72-75,共4页
Journal of Clinical Medicine in Practice
关键词
微创脊柱创伤手术
传统开放手术
脊髓损伤
疼痛
Frankel分级
minimally invasive spinal trauma surgery
traditional open surgery
spinal cord injury
pain
Frankel classification
