知识与财富的链接
目的:比较经皮椎弓根钉棒固定术与后路切开复位内固定术治疗胸腰椎骨折病人的疗效。方法:行经皮椎弓根钉棒固定术的胸腰椎骨折50例（微创组）,同期行后路切开复位内固定术40例（后路组）,比较2组病人手术情况、影像学指标变化及术后疼痛情况。结果:微创组术中平均出血量和住院时间分别为（36.17±6.72）mL和（10.28±1.37）d,均明显小于后路组的术中出血量（387.13±104.39）mL和住院时间（13.86±2.51）d（P<0.01））;微创组术后2周、3周及6个月的VAS评分均明显低于后路组（P<0.01）。2组病人术前、术后当日、术后3个月及术后1年的伤椎前缘高度和后凸Cobb's角差异均无统计学意义（P>0.05）。结论:采用经皮椎弓根钉棒固定术治疗胸腰椎骨折病人能有效固定伤椎,同时缩短住院时间,有效减轻病人术后功能锻炼的痛苦。
Objective:To compare the clinical efficacy between percutaneous pedicle fixation and open reduction internal fixation in the treatment of thoracolumbar fractures.Methods:Fifty thoracolumbar fractures patients treated with percutaneous pedicle fixation and 40 thoracolumbar fractures patients treated with open reduction internal fixation were divided into the micro-invasive group and posterior group,respectively.The operation situation,change of imaging index and postoperative pain between two groups were compared.Results:The average intraoperative blood loss and hospital stay in micro-invasive group[(36.17 ± 6.72)mL and(10.28 ± 1.37)d] were less than those in posterior group[(387.13 ±104.39)mL and(13.86±2.51)d],respectively(P<0.01).The VAS scoresin micro-invasive group after 2 weeks,3 weeks and 6 months of operation were lower than those in posterior group(P <0.01).The differences of the vertebral frontal height and convex Cobb's angle between two groups before operaton,after operation,postoperative 3 months and postoperative 1 year were not statistically significant(P>0.05).Conclusions:The percutaneous pedicle fixation in treating the thoracolumbar fractures can effectively stabilize the injured vertebrae,shorten hospitalization time,effectively relieve the suffering of the patients with postoperative functional exercise.
