| 张国 华杜伟 罗鹏明 王新虎 王建顺.微创手术与传统开放手术在胸腰段脊柱骨折治疗中的应用效果[J].,2017,17(7):1286-1289 |
| 微创手术与传统开放手术在胸腰段脊柱骨折治疗中的应用效果 |
| Clinical Effect of Minimally Invasive Surgery and Traditional Open Surgeryin the Treatment of Thoracolumbar Spine Fractures |
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| DOI： |
| 中文关键词: 微创手术 传统开放手术 胸腰椎骨折 疗效观察 |
| 英文关键词: Percutaneous vertebroplasty Vertebral compression fractures Traditional open surgery Clinical observation |
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| 中文摘要: |
| 目的：分析微创手术与传统开放手术在胸腰段脊柱骨折治疗中的应用效果观察。方法：回顾性抽取我院手术治疗的130 例
胸腰段脊柱骨折病患信息，将应用微创手术治疗的65例病患归为微创组，将接受传统开放手术治疗的65 例病患归为开放组，对
比分析手术前后椎体高度、Cobb 角度以及生活质量评分的变化，同时比较两组手术相关指标以及手术相关并发症的差异。结果：
①与手术前相比，两组手术后的伤椎高度、伤椎Cobb 角度以及生活质量评分显著升高(P<0.05)，两组间伤椎高度、Cobb 角度相
仿，但微创组生活质量评分显著高于开放组(P<0.05)；②微创组手术时间显著高于开放组，但术中出血、术后住院时间以及术后并
发症显著低于开放组(P<0.05)。结论：微创手术治疗胸腰椎骨折不仅对于伤椎复位效果与传统开放手术相仿，而且在生活质量改
善、手术恢复时间、手术安全性方面具有显著优势。 |
| 英文摘要: |
| Objective:To analyze the effect of minimally invasive surgery and the traditional open surgery in the treatment of thoracolumbar
spine fractures.Methods:130 cases with thoracolumbar spine fracture who were treated in our hospital were selected and
their clinical data were taken for retrospective analysis. 65 patients with minimally invasive surgery were classified as the minimally invasive
group, and 65 cases of patients with traditional open surgery were open group. The changes of vertebral height, Cobb angle and quality
of life scores before and after surgery were compared. The differences of surgery-related indicators and complications between the two
groups were also compared.Results:① Compared with before operation, the vertebral height, vertebral Cobb angle and quality of life in
the two groups after surgery were significantly higher (P <0.05), the vertebral height, Cobb angle between the two groups was similar, but
quality of life score of minimally invasive group was significantly higher than open group (P<0.05). ② The operation time of minimally
invasive group was significantly higher than that of the open group, while blood loss, hospitalization and postoperative complications
were significantly lower than those of the open group (P<0.05).Conclusion:Minimally invasive surgery in the treatment of thoracolumbar
vertebral fracture not only is similar for resetting effect with traditional open surgery, but also has significant advantages in improving
the quality of life, surgery recovery time and security operation. |
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