摘要
目的脊柱创伤患者通过微创手术进行治疗,对患者所获得的临床疗效进行观察,评价微创手术的治疗价值。方法从该院在2016年7月—2019年7月间,收治的脊柱创伤患者中随机抽取60例患者,分成观察组和对照组,各30例,对照组患者通过传统开放手术进行治疗,观察组患者通过微创手术进行治疗,对两组患者的手术指标,和两组患者的并发症发生情况进行比较以及治疗总有效率。结果观察组患者的手术时间、术中出血量、活动时间以及住院时间分别为:(120.52±5.89)min,(121.62±34.29)mL,(36.52±10.26)h,(8.25±3.29)d,对照组患者的手术时间、术中出血量、活动时间以及住院时间分别为:(182.48±10.74)min,(300.52±36.19)mL,(57.46±13.62)h,(14.82±4.61)d,组间比较差异有统计学意义(t=5.825、5.461、5.782、5.927,P<0.05);观察组患者的并发症的发生概率6.7%(2/30),对照组患者的并发症的发生概率20.0%(6/30),差异有统计学意义(P<0.05)。观察组患者的治疗总有效率为96.7%(29/30),对照组患者的治疗总有效率为70.0%(21/30),组间差异有统计学意义(P<0.05)。结论脊柱创伤患者通过微创手术进行治疗,患者的手术指标得到明显的改善,并发症的发生概率显著下降。
Objective To treat patients with spinal trauma through minimally invasive surgery,observe the clinical efficacy obtained by the patients,and evaluate the therapeutic value of minimally invasive surgery.Methods From July 2016 to July 2019,60 patients with spinal trauma were randomly selected from the hospital and divided into observation group and control group,each with 30 patients.The control group patients were treated by traditional open surgery,and the observation group was treated by minimally invasive surgery.The surgical indicators of the two groups of patients were compared with the incidence of complications and the total effective rate of treatment.Results The operation time,intraoperative blood loss,activity time,and hospital stay of the observation group were:(120.52±5.89) min,(121.62±34.29)mL,(36.52±10.26)h,(8.25±3.29)d. The control group’s operation time,intraoperative blood loss,activity time,and length of hospital stay were:(182.48±10.74)min,(300.52±36.19)mL,(57.46±13.62)h,(14.82±4.61) d,between groups,after comparison,the difference was statistically significant(t=5.825,5.461,5.782,5.927,P<0.05);the incidence of complications in the observation group was 6.7%(2/30),the incidence of complications in the control group was 20.0%(6/30) and the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group was 96.1%(29/30),and the total effective rate of treatment in the control group was 70.0%(21/30).The difference between the groups was statistically significant(P<0.05).Conclusion Spinal trauma patients are treated by minimally invasive surgery.The patient’s surgical indicators have been significantly improved,and the probability of complications has been significantly reduced.It is worth promoting and applying in the clinic.
作者
余三峰
彭科军
YU San-feng;PENG Ke-jun(Department of Spine Surgery,Qianjiang Nationalities Hospital of Chongqing,Chongqing,409000 China;Department of Orthopaedics,Qianjiang Nationalities Hospital of Chongqing,Chongqing,409000 China)
出处
《世界复合医学》
2020年第5期47-49,共3页
World Journal of Complex Medicine
关键词
微创手术
脊柱创伤
临床疗效
并发症
Minimally invasive surgery
Spinal trauma
Clinical efficacy
Complications
