摘要
目的:探讨脊柱压缩性骨折患者经皮微创钉内固定手术治疗的有效性及对患者伤椎影像学指标的影响。方法:选择2017年5月-2019年5月本院收治的脊柱压缩性骨折患者104例为研究对象。将其随机分为对照组和观察组,每组52例。对照组采用切开复位椎弓根螺钉内固定术治疗,观察组采用经皮微创钉内固定手术治疗。比较两组患者治疗有效性、手术指标及治疗前后影像学指标和ODI、SF-36、VAS评分情况。结果:观察组治疗总有效率为94.23%,明显高于对照组的80.77%,差异有统计学意义(P<0.05)。观察组手术时间、下地走动时间、住院时间均短于对照组,术中出血量、术后引流量均低于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组椎体前缘高度、骨密度均明显高于对照组,矢状面指数及Cobb角均明显低于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组ODI、VAS评分均低于对照组,SF-36评分高于对照组,差异均有统计学意义(P<0.05)。结论:脊柱压缩性骨折患者经皮微创钉内固定手术治疗效果确切,能够缩短手术时间,减少术中出血量,减轻患者疼痛,提升骨密度,有效促进骨折部位恢复,有利于提高患者术后生活质量,具有很好的推广价值。
Objective:To explore the effectiveness of percutaneous minimally invasive screw internal fixation in the treatment of patients with spinal compression fracture and its influence on the imaging indexes of the injured vertebrae.Method:A total of 104 patients with spinal compression fractures admitted to our hospital from May 2017 to May 2019 were selected as study subjects.They were randomly divided into control group and observation group,52 patients in each group.The control group was treated with open reduction and pedicle screw internal fixation,the observation group was treated by percutaneous minimally invasive screw internal fixation.The therapeutic effectiveness,surgical indexes,imaging indexes before and after treatment,ODI,SF-36 and VAS scores were compared between the two groups.Result:The total effective rate was 94.23%in the observation group,which was significantly higher than 80.77%in the control group,there was statistically significant difference(P<0.05).The operation time,walking time and hospitalization time of the observation group were shorter than those of the control group,intraoperative blood loss and postoperative drainage volume were lower than those of the control group,the differences were statistically significant(P<0.05).After treatment,the anterior vertebral body height and bone density in the observation group were significantly higher than those in the control group,while the sagittal plane index and Cobb angle were significantly lower than those in the control group,there were statistically significant differences(P<0.05).After treatment,ODI and VAS scores in the observation group were lower than those in the control group,and SF-36 scores were higher than those in the control group,there were statistically significant differences(P<0.05).Conclusion:In patients with spinal compression fractures,percutaneous minimally invasive screw internal fixation has a definite therapeutic effect,which can shorten the operation time,reduce intraoperative blood loss,reduce patients’pain,improve bone density,effectively promote fracture site recovery,and improve patients’postoperative quality of life.Therefore,it has a good promotion value.
作者
闫庆明
YAN Qingming(Affiliated Hospital of Chifeng University,Chifeng 024005,China)
出处
《中国医学创新》
CAS
2020年第21期1-5,共5页
Medical Innovation of China
关键词
脊柱压缩性骨折
经皮微创钉内固定手术
影像学指标
治疗有效性
手术指标
Spinal compression fracture
Percutaneous minimally invasive screw internal fixation
Imaging index
Therapeutic effectiveness
Surgical indexes
