本文選題：微創(chuàng)手術 + 經皮椎弓根內固定��； 參考：《實用醫(yī)學雜志》2017年08期

【摘要】：目的:探討跨傷椎經皮與開放內固定治療Magerl A型胸腰椎骨折的療效。方法:回顧性分析56例無神經癥狀的單節(jié)段Magerl A型胸腰椎骨折患者,微創(chuàng)組26例,開放組30例。對兩組手術時間、術中出血、切口長度、術后下地時間、Cobb角、傷椎前緣高度比值、VAS評分、ODI評分等指標進行比較分析。結果:微創(chuàng)組術中出血量、切口長度、術后下地時間均低于開放組(P0.05),術后3 d及末次隨訪時VAS評分及ODI評分均低于開放組(P0.05),兩組術后3 d和末次隨訪時傷椎前緣高度比值、Cobb角、VAS評分和ODI評分均較術前改善(P0.05),末次隨訪時的傷椎前緣高度比值、Cobb角均較術后3 d丟失(P0.05)。結論:治療無神經癥狀的Magerl A型胸腰椎骨折微創(chuàng)手術可取得與開放相似的效果,且具有創(chuàng)傷小、出血少、下地早、恢復快等優(yōu)點。
[Abstract]:Objective: to evaluate the effect of percutaneous and open internal fixation on Magerl type A thoracolumbar fractures. Methods: 56 patients with single segment Magerl A thoracolumbar fracture without neurological symptoms were retrospectively analyzed, 26 cases in the minimally invasive group and 30 cases in the open group. The operative time, intraoperative bleeding, incision length, postoperative time of landing and Cobb angle, VAS score and ODI score were compared between the two groups. Results: in the minimally invasive group, the amount of intraoperative bleeding, the length of incision, The time after operation was lower than that in the open group (P 0.05), and the VAS score and the ODI score at the 3rd day and the last follow-up were lower than those in the open group. The ratio of anterior height of the injured vertebrae on the 3rd day and the last follow-up in the two groups was higher than that in the preoperative group. At the last follow-up, the ratio of anterior height of injured vertebrae and Cobb angle were all higher than that of 3 days after operation. Conclusion: minimally invasive treatment of Magerl A thoracolumbar fractures without neurologic symptoms can achieve similar results with open operation, and has the advantages of less trauma, less bleeding, early descent and quick recovery.
【作者單位】： 廣州市中西醫(yī)結合醫(yī)院脊柱�？�;
【分類號】：R687.3

【參考文獻】

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