经皮椎弓根钉微创手术治疗脊柱骨折对患者的影响分析
Analysis of the Impact of Percutaneous Pedicle Screw Minimally Invasive Surgery on Patients with Spinal Fractures
张九江1
作者信息
- 1. 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
- 折叠
摘要
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.
Abstract
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.
关键词
经皮椎弓根钉微创手术/脊柱骨折/脊柱功能Key words
percutaneous pedicle screw minimally invasive surgery/spinal fractures/spinal function引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据