| 江伟 刘兵 余游 蔡建平 樊元胜.经皮椎弓根内固定术治疗胸腰椎骨折患者的疗效观察[J].,2015,15(21):4112-4114 |
| 经皮椎弓根内固定术治疗胸腰椎骨折患者的疗效观察 |
| Minimally Invasive Percutaneous Pedicle Screws Osteosynthesis forThoracolumbar Fractures |
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| DOI： |
| 中文关键词: 胸腰椎骨折 经皮椎弓根内固定术 临床效果 |
| 英文关键词: Thoracolumbar fractures Minimally invasive percutaneous pedicle screws osteosynthesis Clinical effect |
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| 中文摘要: |
| 目的：探讨经皮椎弓根内固定术(MIPPSO)治疗胸腰椎骨折患者的效果。方法：选择2013 年1 月~2014 年12 月在我院就诊
胸腰椎骨折患者28 例，随机分成开放组和微创组，每组各14 例。开放组行传统切开椎弓根螺钉内固定术，微创组行MIPPSO进
行治疗。比较两组患者手术时间、术中出血量、术后引流量、创口长度、住院天数、椎体前缘高度百分比和后凸Cobb 角指标，并进
行统计分析。结果：两组手术时间无统计学差异（P>0.05），而术中出血量、术后引流量、创口长度和住院天数的差异均有统计学意
义，且开放组均大于微创组（P<0.01）；两组椎体前缘高度百分比和后凸Cobb 角术后较术前比均有所改善，差异均有统计学意义
（P<0.01），两组间术前和术后比较，差异均无统计学意义（P>0.05）。结论：MIPPSO 对胸腰椎骨折的治疗效果优于传统切开椎弓根
螺钉内固定术，具有出血少、创伤小，且住院时间短等优点。 |
| 英文摘要: |
| Objective:To explore the clinical effect of minimally invasive percutaneous pedicle screws osteosynthesis(MIPPSO) in
the treatment of thoracolumbar fractures.Methods:A total of 28 patients with thoracolumbar fractures, who were treated in Yibin Second
People's Hospital of Sichuan Province from January 2013 to December 2014, were randomly divided into open group (n=14) and minimally
invasive group (n=14). The open group was treated with traditional open pedicle screws osteosynthesis, while the minimally invasive
group, MIPPSO. The operation time, intraoperative blood loss, postoperative drainage, wound length, hospitalization time, anterior
vertebral body height and Cobb's angle between the two groups were compared and analyzed.Results:There was no significant difference
in the operation time between the two groups (P>0.05), but there was statistical significance in the intraoperative blood loss, postoperative
drainage, wound length, hospitalization time between the two groups, the levels of open group were significantly higher than those
of minimally invasive group(P<0.01). Compared with before operation, the anterior vertebral body height and Cobb's angle of two groups
after operation were improved, the differences were statistically significant P<0.01). Compared before operation with after operation,
there was no significant difference between the two groups (P>0.05).Conclusion:In the treatment effect of patients with thoracolumbar
fractures, MIPPSO is better than traditional open pedicle screws osteosynthesis, with the advantages of less intraoperative blood loss,
minimally invasive, and shorter hospitalization time. |
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