摘要
目的分析对比经皮微创椎弓根钉内固定与传统开放手术在脊椎骨折患者治疗中的治疗效果。方法方便选择2021年1月-2023年12月泗洪中信医院收治的84例脊椎骨折患者为研究对象,按随机数表法分为研究组(经皮微创椎弓根钉内固定,42例)和对照组(传统开放手术,42例)。对比两组临床指标、影像学检查结果、临床评分以及并发症状况。结果研究组的临床指标、Cobb角、疼痛评分、并发症总发生率明显低于对照组,伤椎前缘高度压缩比明显高于对照组,差异有统计学意义(P均<0.05);研究组预后评分为(11.41±1.44)分,明显高于对照组的(10.23±1.46)分,差异有统计学意义(t=3.729,P<0.05)。结论经皮微创椎弓根钉内固定可提高脊椎骨折患者的手术效率,促进骨折早日康复,手术安全性高。
Objective To analyze and compare the efficacy of percutaneous minimally invasive pedicle nail internal fixation and traditional open surgery in the treatment of vertebral fractures.Methods A total of 84 patients with verte-bral fracture admitted to Sihong Zhongxin Hospital from January 2021 to December 2023 were selected conveniently as the study objects and were randomly divided into the study group(percutaneous minimally invasive pedicle nail in-ternal fixation,42 cases)and the control group(traditional open surgery,42 cases)by random number table method.Clinical indicators,imaging results,clinical scores and complications were compared between the two groups.Results The clinical indexes,Cobb angle,pain score and total complication rate were significantly lower than those of the con-trol group.The anterior compression ratio of injured vertebra was significantly higher than that of control group,and the differences were statistically significant(all P<0.05).The prognosis score(11.41±1.44)points was significantly higher than that of control group(10.23±1.46)points,and the difference was statistically significant(t=3.729,P<0.05).Conclusion Percutaneous minimally invasive pedicle nail internal fixation can improve the surgical efficiency of pa-tients with vertebral fracture,promote the early recovery of fracture,and have high surgical safety.
作者
谢国庆
刘仲
徐跃胜
XIE Guoqing;LIU Zhong;XU Yuesheng(Department of Orthopedics,Sihong Zhongxin Hospital,Suqian,Jiangsu Province,223900 China)
出处
《中外医疗》
2024年第7期76-79,共4页
China & Foreign Medical Treatment
关键词
经皮微创
椎弓根钉
内固定术
脊椎骨折
并发症
Percutaneous minimally invasive
Pedicle nail
Internal fixation
Vertebral fracture
Complication
