摘要
目的探讨微创经皮椎弓根螺钉内固定(MIPPSO)与传统切开椎弓根螺钉内固定治疗胸腰椎骨折患者的临床疗效。方法回顾性分析本院2016年2月至2019年7月收治的胸腰椎骨折患者60例,根据治疗方法不同分为观察组(行MIPPSO手术)和对照组(传统切开椎弓根螺钉内固定手术),各30例。比较两组术中相关指标、疼痛程度。结果观察组术中出血量、伤口引流量均少于对照组,切口长度、住院时间均短于对照组,差异有统计学意义(P<0.05)。术后1、6、12周,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。结论针对胸腰椎骨折患者实施MIPPSO手术的疗效较传统开放式手术更显著,具有切口小、出血少等优势,可有效缩短患者住院时间,缓解疼痛程度,促进患者恢复。
Objective To investigate the clinical efficacy of minimally invasive percutaneous pedicle screw internal fixation(MIPPSO)and traditional open pedicle screw internal fixation in the treatment of thoracolumbal fracture.Methods 60 patients with thoracolumbal fracture admitted to our hospital from February 2016 to July 2019 were retrospectively analyzed.According to different treatment methods,they were divided into observation group(MIPPSO operation)and control group(traditional open pedicle screw internal fixation surgery),with 30 cases in each group.The intraoperative indexes and pain were compared between the two groups.Results The amount of intraoperative blood loss and wound drainage in the observation group were less than those in the control group,and the length of incision and hospital stay were shorter than those in the control group,the difference was statistically significant(P<0.05).VAS score of observation group was lower than that of control group on postoperative 1,6 and 12 weeks,the difference was statistically significant(P<0.05).Conclusion MIPPSO surgery for thoracolumbar fracture patients is more effective than traditional open surgery,with small incision,less bleeding and other advantages,can effectively shorten the length of hospital stay,relieve pain and promote patient recovery.
作者
徐修磊
XU Xiulei(Department of Orthopedics,Aral Hospital,First Division of Xinjiang Production and Construction Corps,Aral,Xinjiang,843300,China)
出处
《当代医学》
2021年第29期80-82,共3页
Contemporary Medicine
