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小切口手术治疗脊柱创伤的效果

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目的 探讨小切口手术治疗脊柱创伤的效果,为制订脊柱创伤的临床治疗方案提供参考.方法 选取2020年1月-2022年1月阳谷县人民医院收治的脊柱创伤患者106例为研究对象,以电脑随机法分为观察组和对照组各53例.对照组采用传统开放手术治疗,观察组采用小切口手术治疗.比较两组手术用时、术中出血量、住院时间、术后疼痛评分、Cobbs角度和矫正丢失度及术后并发症发生率.结果 观察组手术用时、住院时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05).观察组术后12、24、48及72 h疼痛评分均低于对照组,差异均有统计学意义(P<0.05).观察组Cobbs角度及矫正丢失度均低于对照组,差异均有统计学意义(P<0.05).观察组术后并发症发生率为3.77%,低于对照组的15.09%,差异有统计学意义(x2=3.975,P<0.05).结论 对脊柱创伤患者进行小切口手术治疗的效果与安全性更加突出,有助于减轻术后疼痛,降低术后并发症发生率,促进患者早日康复.
Effect of small incision surgery in the treatment of spinal trauma
Objective To explore the effect of small incision surgery in the treatment of spinal trauma,in order to provide reference for the development of clinical treatment plans for spinal trauma.Methods From January 2020 to January 2022,106 patients with spinal trauma admitted to Yanggu County People's Hospital were selected as the research subjects.They were divided into observation group and control group using computer randomization,with 53 cases in each group.The control group received traditional open surgery treatment,while the observation group received small incision surgery treatment.The surgical time,intraoperative bleeding volume,length of hospital stay,postoperative pain score,Cobbs angle and correction loss degree,and incidence of postoperative complications between two groups were compared.Results The surgical time and hospital stay in the observation group were shorter than those in the control group,and the intraoperative bleeding volume was less than that in the control group,and the differences were statistically significant(P<0.05).The pain scores of the observation group at 12,24,48 and 72 h after surgery were lower than those of the control group,and the differences were statistically significant(P<0.05).The Cobbs angle and correction loss degree in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 3.77%,which was lower than that in the control group with 15.09%,and the difference was statistically significant(x2=3.975,P<0.05).Conclusion The effect and safety of small incision surgery in the treatment of patients with spinal trauma were more prominent,which helped to alleviate postoperative pain,reduce the incidence of postoperative complications,promote early recovery of patients.

Small incision surgerySpinal traumaSafetySurgical effect

宋景光

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阳谷县人民医院骨科,山东 聊城 252300

小切口手术 脊柱创伤 安全性 手术疗效

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(1)
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