首页|经皮椎弓根钉微创手术治疗脊柱骨折对患者的影响分析

经皮椎弓根钉微创手术治疗脊柱骨折对患者的影响分析

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目的 探究经皮椎弓根钉微创手术治疗脊柱骨折的效果.方法 选取 2022 年 3 月至 2024 年 3 月南阳市中心医院收治的 90 例脊柱骨折患者,随机分为对照组(45 例,传统开放性内固定术治疗)与研究组(45 例,经皮椎弓根钉微创手术治疗),对比手术治疗效果.结果 两组手术时间比较,差异无统计学意义(P>0.05),研究组术中出血量少于对照组,下床活动时间与住院时间短于对照组,治疗有效率高于对照组,差异均有统计学意义(P<0.05).手术前,两组Oswestry功能障碍指数(ODI)、视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05),手术后,两组ODI、VAS评分均下降,且研究组低于对照组,差异均有统计学意义(P<0.05).研究组并发症发生率(4.44%)低于对照组(17.78%),差异具有统计学意义(P<0.05).结论 经皮椎弓根钉微创手术可提升脊柱骨折患者手术指标与治疗效果,改善脊柱功能与疼痛程度,减少并发症.
Analysis of the Impact of Percutaneous Pedicle Screw Minimally Invasive Surgery on Patients with Spinal Fractures
Objective To explore the effectiveness of percutaneous pedicle screw minimally invasive surgery for treating spinal fractures.Methods A total of 90 patients with spinal fractures admitted to Nanyang Central Hospital from March 2022 to March 2024 were selected and randomly divided into a control group(45 cases,treated with traditional open internal fixation surgery)and a study group(45 cases,treated with percutaneous pedicle screw minimally invasive surgery).The therapeutic effects of the surgeries were compared.Results There was no statistically significant difference in surgical time between the two groups(P>0.05).The study group had less intraoperative blood loss,shorter time to mobilization,shorter hospitalization duration,and higher treatment effectiveness compared to the control group,with all differences being statistically significant(P<0.05).Preoperatively,there were no significant differences in the Oswestry Disability Index(ODI)and Visual Analog Scale(VAS)scores between the two groups(P>0.05).Postoperatively,both groups showed a decrease in ODI and VAS scores,with the study group having significantly lower scores than the control group(P<0.05).The incidence of complications in the study group(4.44%)was lower than that in the control group(17.78%),and the difference was statistically significant(P<0.05).Conclusion Percutaneous pedicle screw minimally invasive surgery can improve surgical indicators and treatment outcomes for patients with spinal fractures,enhance spinal function,reduce pain levels,and decrease complications.

percutaneous pedicle screw minimally invasive surgeryspinal fracturesspinal function

张九江

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南阳市中心医院 显微手足外科创伤骨科二病区,河南 南阳 473000

经皮椎弓根钉微创手术 脊柱骨折 脊柱功能

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(12)