| 隋吉生 王黎明 张绍东 曾逸文 孙强.经肌间隙微创内固定术与传统椎弓根螺钉内固定术治疗胸腰椎骨折的疗效比较[J].,2015,15(35):6875-6878 |
| 经肌间隙微创内固定术与传统椎弓根螺钉内固定术治疗胸腰椎骨折的疗效比较 |
| A Comparative Study on the Efficacy of Minimally Invasive StabilizationThrough Intermuscular Approach and percutaneous Pedicle screw Fixation in the Treatment of Thoracolumbar Fractures |
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| DOI： |
| 中文关键词: 经肌间隙微创内固定术 胸腰椎骨折 椎弓根螺钉内固定术 临床疗效 |
| 英文关键词: Minimally invasive stabilization through intermuscular approach Thoracolumbar fractures Percutaneous pedicle screw
fixation Clinical efficacy |
| 基金项目:南京市医学科技发展项目(YKK13112)；江苏省社会发展基金项目(BE2010743) |
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| 中文摘要: |
| 目的：比较经肌间隙和传统切开椎弓根内固定治疗胸腰椎骨折的临床疗效和安全性。方法：选取我院2010 年1 月-2014 年
12 月收治的胸腰椎骨折患者120例，分为微创手术组和开放手术组。观察并对比两组患者的手术时间、术中出血量、住院时间及
术后恢复情况。结果：两组患者的手术时间比较差异无统计学意义（P>0.05）。与开放手术组比较，微创组患者术中出血量显著减
少、住院时间明显缩短，差异具有统计学意义（P<0.05）。与手术前比较，两组患者术后Cobb 角及伤椎高度均明显改善，差异具有
统计学意义（P<0.05），但两组间比较差异无统计学意义（P>0.05）；两组患者术后JOA 评分均显著降低，差异具有统计学意义（P<0.
05），但两组间比较差异无统计学意义（P>0.05）。结论：经肌间隙微创内固定术与传统椎弓根螺钉内固定术均能较好的复位固定胸
腰椎骨折，但经肌间隙微创内固定术具有创伤小、术中出血少、功能恢复快、住院周期短等优势，值得临床推广应用。 |
| 英文摘要: |
| Objective:To compare the clinical effect of efficacy of minimally invasive stabilization through intermuscular approach
and percutaneous pedicle screw fixation in the treatment of thoracolumbar fractures.Methods:120 cases with thoracolumbar fractures
who were treated in our hospital fromJanuary 2010 to December 2014 were selected and randomly divided into the minimally invasive
group and the open surgery group. Then the operation time, blood loss, hospitalization and postoperative recovery of the two groups
were observed and compared.Results:There was no statistically significant differences in the operation time between the two groups
(P>0.05). Compared with the open surgery group, the operation time and hospitalization of the minimally invasive group were shorter
(P<0.05). Compared with before treatment, the Cobb angle and the vertebral height of patients in both groups were better after the operation
(P<0.05); There was no statistically significant differences in the Cobb angle and the vertebral height between the two groups (P>0.
05). Compared with before treatment, the JOA scores in both groups after the operation were reduced (P<0.05), but there was no statistically
significant differences in the JOAscore between the two groups (P>0.05).Conclusion:Minimally invasive stabilization through intermuscular
approach and percutaneous pedicle screw fixation could both better fix the thoracolumbar fractures, and the minimally invasive
stabilization through intermuscular approach was better with less trauma and blood loss, faster recovery and short hospitalization,
which was worth of clinical application. |
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