中国当代医药2024,Vol.31Issue(7) :100-103.

微创脊柱创伤手术治疗胸腰段脊柱外伤患者的效果及对并发症的影响

Effect of minimally invasive spinal trauma surgery on postoperative pain in patients with thoracolumbar spinal trauma

熊光
中国当代医药2024,Vol.31Issue(7) :100-103.

微创脊柱创伤手术治疗胸腰段脊柱外伤患者的效果及对并发症的影响

Effect of minimally invasive spinal trauma surgery on postoperative pain in patients with thoracolumbar spinal trauma

熊光1
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作者信息

  • 1. 湖北省麻城市人民医院骨科,湖北麻城 438300
  • 折叠

摘要

目的 探究微创脊柱创伤手术治疗胸腰段脊柱外伤患者的效果及对并发症的影响.方法 选取2019年1月1日至2022年12月31日麻城市人民医院符合条件的100例脊柱外伤患者作为研究对象,按照抽签法分为对照组(n=50)和试验组(n=50),对照组行传统手术治疗,试验组行微创脊柱创伤手术治疗.评估两组患者临床疗效、手术情况、疼痛情况、影像学指标及并发症发生情况.结果 试验组患者总有效率高于对照组,差异有统计学意义(P<0.05);两组患者治疗前的手术情况、疼痛情况、影像学指标比较,差异无统计学意义(P>0.05);试验组治疗后手术所需时间、住院时间、下床活动时间短于对照组,而术中出血量少于对照组,差异有统计学意义(P<0.05);治疗后,试验组视觉模拟评分法(VAS)评分、脊柱Cobb's角及并发症总发生率低于对照组,而伤椎前缘高度高于对照组,差异有统计学意义(P<0.05).结论 脊柱外伤患者应用微创脊柱创伤手术的临床疗效显著,能有效减少患者的疼痛和脊柱Cobb's角度,提高了伤椎前缘高度,并减少了并发症的发生.

Abstract

Objective To explore the effect of minimally invasive spinal surgery on thoracolumbar spinal trauma and its in-fluence on complications.Methods A total of 100 eligible spinal trauma patients from People's Hospital of Macheng City from January 1,2019 to December 31,2022 were selected as research objects,and they were divided into control group(n=50)and experimental group(n=50)according to the lottery method.The control group received traditional surgery,and the experimental group received minimally invasive spinal trauma surgery.The clinical efficacy,operation situation,pain,imaging indexes and complications of the two groups were evaluated.Results The total effective rate of experimental group was higher than that of control group,the difference was statistically significant(P<0.05).There were no significant differ-ences in surgical status,pain status and imaging indexes between the two groups before treatment(P>0.05).After treatment,the operation time,hospital stay and getting out of bed time of experimental group were shorter than those of control group,and the intraoperative blood loss was less than that of control group,the differences were statistically significant(P<0.05).After treatment,visual analogue scale(VAS)score,Cobb's angle of spine and total complication rate of experimental group were lower than those of control group,while anterior vertebra height of injured vertebra was higher than that of control group,the differences were statistically significant(P<0.05).Conclusion Minimally invasive spinal surgery has significant clinical efficacy in patients with spinal trauma,which can effectively reduce the pain and Cobb's angle of the spine,improve the height of the anterior vertebra of the injured vertebra,and reduce the occurrence of complications.

关键词

脊柱外伤/微创脊柱创伤手术/传统手术/疼痛情况/影像学指标

Key words

Spinal trauma/Minimally invasive spinal trauma surgery/Traditional surgery/Pain condition/Imaging index

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出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量20
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