摘要
目的对比分析脊柱创伤患者采用小切口手术与传统开放手术治疗的效果和安全性。方法便利选取该院2017年3月—2019年3月收治的脊柱创伤患者86例,根据手术方法的不同,将行小切口手术治疗的46例患者纳入观察组,行传统开放手术的40例纳入对照组,比较两组治疗效果。结果观察组和对照组的治疗总有效率(93.48%vs 77.50%)比较有差异有统计过学意义(P<0.05);观察组和对照组的术中失血量[(123.53±49.73)mL vs(279.52±54.62)mL]、手术时间[(118.35±20.56)min vs(175.77±28.73)min]、住院时间[(8.58±2.47)d vs(15.34±3.87)d]、术后开始活动时间[(28.64±8.37)h vs(36.37±10.20)h]以及术后VAS评分[(3.20±1.25)分vs(6.05±1.49)分]差异有统计学意义(t=13.860、10.757、9.780、3.859、9.646,P<0.05);观察组与对照组术后的前缘压缩高度[(5.67±1.20)%vs(10.27±2.35)%]和Cobb’s角变化[(6.15±1.09)°vs(11.07±2.58)°]差异有统计学意义(t=11.650、11.788,P<0.05)。观察组和对照组术后并发症发生率(4.35%VS15.00%),差异有统计学意义(χ^2=6.489,P<0.05)。结论小切口手术治疗脊柱创伤效果优于传统开放手术,具有微创、出血少、恢复快、疼痛少和并发症少等优点。
Objective To compare the efficacy and safety of small incision surgery and traditional open surgery in patients with spinal trauma.Methods 86 patients with spinal trauma treated in the hospital from March 2017 to March 2019 were convenient selected.According to the different surgical methods,46 patients who underwent small incision surgery were included in the observation group,and 40 patients who underwent traditional open surgery were included in the control group,compare the treatment effect between the two groups.Results The total effective rate of treatment between the observation group and the control group(93.48%vs 77.50%)is statistically significant(P<0.05);the intraoperative blood loss of the observation group and the control group[(123.53±49.73)mL vs(279.52±54.62)mL],operation time[(118.35±20.56)min vs(175.77±28.73)min],length of hospital stay[(8.58±2.47)d vs(15.34±3.87)d],postoperative start activity time[(28.64±8.37)h vs(36.37±10.20)h]and postoperative VAS score[(3.20±1.25)points vs(6.05±1.49)points]The difference was statistically significant(t=13.860,10.757,9.780,3.859,9.646,P<0.05);the anterior compression height[(5.67±1.20)%vs(10.27±2.35)%]and Cobb's angle change[(6.15±1.09)°vs(11.07±2.58)°]The difference was statistically significant(t=11.650,11.788,P<0.05).The incidence of postoperative complications in the observation group and the control group(4.35%vs 15.00%)was statistically significant(χ^2=6.489,P<0.05).Conclusion Small incision surgery is better than traditional open surgery in treating spinal trauma,with minimally invasive,less bleeding,faster recovery,less pain and fewer complications.
作者
韩增斌
HAN Zeng-bin(Department of Orthopaedics,Xintai People's Hospital,Xintai,Shandong Province,271200 China)
出处
《中外医疗》
2020年第14期71-73,共3页
China & Foreign Medical Treatment
关键词
小切口手术
疗效
脊柱创伤
安全性
传统开放性手术
Small incision surgery
Efficacy
Spinal trauma
Safety
Traditional open surgery
