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张 萌1 李荣俊2.经皮椎弓根钉微创手术治疗脊柱骨折的效果及对患者脊柱功能的影响[J].中国现代医生,2021,59(27):98-101
经皮椎弓根钉微创手术治疗脊柱骨折的效果及对患者脊柱功能的影响
Effect of minimally invasive percutaneous pedicle screw surgery on spinal fractures and its influence on patients′ spinal function
  
DOI:
中文关键词:  脊柱功能  颈腰椎功能  并发症  脊柱骨折  经皮椎弓根微创手术
英文关键词:Spinal function  Cervical and lumbar spine function  Complications  Spinal fractures  Minimally invasive percutaneous pedicle surgery
基金项目:辽宁省大连市医学科学研究计划项目(1911024)
作者单位
张 萌1 李荣俊2 1.大连大学附属中山医院骨科辽宁大连 1160012.大连市第二人民医院骨科辽宁大连 116011 
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中文摘要:
      目的 探讨经皮椎弓根钉微创手术治疗脊柱骨折的效果及对患者脊柱功能的影响。方法 选取2018 年6 月至2020 年3 月大连大学附属中山医院86例脊柱骨折患者,随机分为两组,对照组(n=43)行开放内固定术治疗,研究组(n=43)行经皮椎弓根微创手术治疗。比较两组住院时间、术中出血量、手术时间、疼痛评分及治疗效果。结果 研究组住院时间为(7.01±1.10)d,明显短于对照组的(14.72±3.21)d,差异有统计学意义(P<0.05);研究组术中出血量为(73.35±9.52)mL,明显少于对照组的(149.96±12.13)mL,差异有统计学意义(P<0.05);两组手术时间比较,差异无统计学意义(P>0.05);研究组疼痛评分为(2.02±0.12)分,明显低于对照组的(5.37±0.41)分,差异有统计学意义(P<0.05);两组治疗优良率比较,差异无统计学意义(P>0.05);治疗后两组NDI 评分均低于治疗前,JOA 评分均高于治疗前,差异有统计学意义(P<0.05);研究组治疗后NDI 评分低于对照组,JOA 评分高于对照组,差异有统计学意义(P<0.05);研究组并发症总发生率为4.7%,明显低于对照组的27.9%,差异有统计学意义(P<0.05)。结论 经皮椎弓根微创手术治疗脊柱骨折患者,可减轻患者疼痛感,缩短住院时间,降低术中出血量,治疗效果显著,有效改善患者颈腰椎功能,安全性更好,值得临床推广。
英文摘要:
      Objective To investigate the effect of minimally invasive percutaneous pedicle screw surgery on spinal fractures and its influence on patients′ spinal function.Methods A total of 86 patients with spinal fractures from June 2018 to March 2020 were randomly divided into two groups.The control group(n=43)were treated with open internal fixation,while the study group(n=43)were treated with minimally invasive percutaneous pedicle surgery.The hospitalization stay,intraoperative blood loss,operation time,and pain score were compared between the two groups,to compare the treatment effect.Results The hospitalization stay in the study group was(7.01±1.10)days,which was shorter than that of(14.72±3.21)days in the control group,with statistically significant difference(P<0.05).The intraoperative blood loss in the study group was(73.35±9.52)mL,which was less than that of(149.96±12.13)mL in the control group,with statistically significant difference(P<0.05).There was no statistically significant difference in operation time between the study group and the control group(P>0.05).The pain score in the study group was(2.02±0.12)points,which was lower than that of(5.37±0.41)points in the control group,with statistically significant difference(P<0.05).There was no statistically significant difference in the treatment excellent and good rate between the study group and the control group(P>0.05).The NDI score after treatment in both groups were lower than those before treatment,and the JOA score after treatment in both groups were higher than those before treatment,with statistically significant difference(P<0.05).After treatment,the NDI score in the study group was lower than that in the control group,and the JOA score in the study group was higher than that in the control group,with statistically significant difference(P<0.05).The total complication rate in the study group was 4.7%,which was lower than that of 27.9% in the control group,with statistically significant difference(P<0.05).Conclusion Minimally invasive percutaneous pedicle surgery can relieve pain,shorten hospitalization stay,reduce intraoperative blood loss in the treatment of spinal fractures,indicating a significant therapeutic effect.It can effectively improve the cervical and lumbar spine function and is safe.It is worthy of clinical promotion.
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