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      标题:经皮椎弓根螺钉内固定术治疗胸腰椎骨折的临床研究
      作者:王守东,林文琛,吴祥培,林良河,林伟东,王育新    (石狮市(华侨)医院骨科,福建 石狮 362700)
      卷次: 2018年29卷1期
      【摘要】 目的 对比经皮椎弓根螺钉内固定术与传统后路椎弓根螺钉内固定术治疗胸腰椎骨折的临床疗效。方法 选择石狮市(华侨)医院骨科于2015年6月至2016年7月收治的57例胸腰椎骨折患者为研究对象,根据随机数表法分为观察组(n=28)和对照组(n=29),对照组患者予后路椎弓根螺钉内固定术治疗,观察组患者采用经皮椎弓根螺钉内固定术治疗,比较两组患者的围手术期指标,随访1年,观察椎体影像学指标的变化。结果 观察组患者的手术时间、出血量、术后离床时间及住院时间分别为(43.5±5.8) min、(80.6±25.4) mL、(7.5±2.4) d、(11.4±3.8) d,均明显少于对照组的(90.5±15.7) min、(230.7±55.9) mL、(13.4±4.3) d、(18.3±5.7) d,差异均有统计学意义(P<0.05);随访 1年时,观察组患者的椎体前缘高度比值及后凸Cobb角分别为(85.4±17.6)%、(9.9±2.8)°,与对照组的(87.5±18.9)%、(9.1±3.2)°比较差异均无统计学意义(P>0.05)。结论 经皮椎弓根螺钉内固定术治疗胸腰椎骨折具有确切的疗效,并且具有手术时间短、出血量少、术后恢复快等微创优势。
      【关键词】 经皮椎弓根螺钉内固定;胸腰椎骨折;微创;疗效
      【中图分类号】 R683.2 【文献标识码】 A 【文章编号】 1003—6350(2018)01—0041—03
Clinical efficacy of percutaneous pedicle screw fixation in the treatment of thoracolumbar fractures. WANGShou-dong, LIN Wen-chen, WU Xiang-pei, LIN Liang-he, LIN Wei-dong, WANG Yu-xin. Department of Orthopedics,Shishi (Overseas Chinese) Hospital, Shishi 362700, Fujian, CHINA
      【Abstract】 Objective To compare the clinical efficacy of percutaneous pedicle screw fixation and traditionalposterior pedicle screw fixation in the treatment of thoracolumbar fractures. Methods A total of 57 cases of patientswith thoracolumbar fracture, who admitted to Department of Orthopedics of Shishi (Overseas Chinese) Hospital fromJune 2015 to July 2016, were selected and divided into the observation group (n=28) and the control group (n=29) ac-cording to the random number table method. The control group was treated with posterior pedicle screw fixation, andthe observation group was treated with percutaneous pedicle screw change of fixation. The perioperative indicators ofthe two groups were compared, and the changes of vertebral imaging indexes were observed after one year of follow-up.Results The operation time, bleeding volume, postoperative ambulation time and hospitalization time in the observa-tion group were (43.5±5.8) min, (80.6±25.4) mL, (7.5±2.4) d, (11.4±3.8) d, respectively, which were significantly lessthan (90.5±15.7) min, (230.7±55.9) mL, (13.4±4.3) d, (18.3±5.7) d in the control group (P<0.05). After one year of fol-low-up, the anterior vertebral height ratio and kyphosis Cobb angle were respectively (85.4±17.6)% and (9.9±2.8)° in theobservation group versus (87.5±18.9)% and (9.1±3.2)° in the control group (P>0.05). Conclusion Percutaneous pedi-cle screw fixation is an effective method for the treatment of thoracolumbar fractures. It has advantages of shorter opera-tion time, less blood loss and quick recovery.
      【Key words】 Percutaneous pedicle screw internal fixation; Thoracolumbar fracture; Minimally invasive; Clinical efficacy·论 著·doi:10.3969/j.issn.1003-6350.2018.01.012
      基金项目:福建省石狮市科技和知识产权局资金资助项目(编号:[2016]SK10)

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