摘要
目的比较微创手术与传统开放手术治疗脊柱创伤的临床效果。方法选取我院2018年1月至2020年1月收治的102例脊柱创伤患者作为研究对象,按照手术方式不同将其分为观察组(51例,微创手术)和对照组(51例,传统开放手术)。比较两组的治疗效果。结果观察组手术时间、下床活动时间、住院时间均短于对照组,术中出血量少于对照组,手术切口长度短于对照组(P<0.05)。术后1个月,两组损伤椎体Cobb's角、前缘高度及SI均较术前改善,且观察组优于对照组(P<0.05)。术后24 h,两组CRP、TNF-α、IL-6水平均较术前升高,但观察组低于对照组(P<0.05)。观察组并发症总发生率低于对照组(P<0.05)。结论微创手术治疗脊柱创伤患者能有效改善围术期指标、椎体Cobb's角、前缘高度及SI,降低炎症因子水平及并发症发生率,值得临床应用和推广。
Objective To compare the clinical effect between minimally invasive surgery and traditional open surgery in the treatment of spinal trauma.Methods A total of 102 patients with spinal trauma admitted in our hospital from January 2018 to January 2020 were selected as the research objects,and the patients were divided into observation group(51 cases,minimally invasive surgery)and control group(51 cases,traditional open surgery)according to different surgical methods.The therapeutic effects of the two groups were compared.Results The operation time,ambulation time and hospital stay in the observation group were shorter than those in the control group,the intraoperative blood loss volume was less than that in the control group,and the length of incision was shorter than that in the control group(P<0.05).One month after operation,Cobb's angle,anterior height and SI of injured vertebral body in the two groups improved,and those in the observation group were better than the control group(P<0.05).Twenty-four hours after operation,the levels of CRP,TNF-αand IL-6 in the two groups were higher than those before operation,but those in the observation group were lower than the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Minimally invasive surgery for patients with spinal trauma can effectively improve the perioperative indicators,Cobb's angle,anterior height and SI,reduce the levels of inflammatory factors and the incidence of complications,which is worthy of clinical application and promotion.
作者
蔡春雨
梁小旦
单红星
CAI Chunyu;LIANG Xiaodan;SHAN Hongxing(Spine and Joint Surgery Department,Zhumadian Bone-setting Hospital,Zhumadian 463000;Internal Medicine Department,Zhumadian Tumour Hospital,Zhumadian 463000;Spine and Joint Surgery Department,the 990th Hospital of the Joint Logistic Support Force of the Chinese People's Liberation Army,Zhumadian 463000,China)
出处
《临床医学研究与实践》
2021年第10期65-67,共3页
Clinical Research and Practice
关键词
脊柱创伤
微创手术
炎症因子
spinal trauma
minimally invasive surgery
inflammatory factor
