新型脊柱外固定器联合微创技术治疗胸腰椎脊柱骨折临床探讨.docVIP

新型脊柱外固定器联合微创技术治疗胸腰椎脊柱骨折临床探讨 　　【摘要】 目的：探?胸腰椎脊柱骨折行新型脊柱外固定器联合微创技术治疗的临床效果。方法：选取2012年1月-2016年1月本院收治的300例胸腰椎脊柱骨折患者作为此次研究对象，按随机数字表法将其分为对照组和观察组，每组150例，对照组行微创小切口肌间隙入路椎弓根内固定术，观察组行新型脊柱外固定器联合微创小切口肌间隙入路椎弓根内固定术治疗。比较两组术后情况（术后下床时间、治疗费用、总住院时间）、Frankel分级、并发症发生情况、手术前后Cobb角度及椎体前缘高度比率。结果：观察组术后下床时间、治疗费用、总住院时间均明显较对照组低，差异均有统计学意义（P0.05），术后观察组Cobb角度明显低于对照组，椎体前缘高度比率则明显高于对照组，差异均有统计学意义（P0.05）。结论：胸腰椎脊柱骨折行新型脊柱外固定器联合微创技术治疗，可有效减少患者的术后下床时间、治疗费用、总住院时间，改善Frankel分级，降低并发症发生率及Cobb角度，提高椎体前缘高度比率，是一种有效治疗方法。 　　【关键词】 胸腰椎脊柱骨折； 新型脊柱外固定器； 微创 　　【Abstract】 Objective：To investigate the clinical effect of new spinal external fixator combined with minimally invasive technique in the treatment of thoracolumbar spine fractures.Method：In Guangdong province were selected in Heyuan People’s Hospital from January 2012 to January 2016 were 300 cases of thoracolumbar spine fracture patients as the research object， randomly divided into control group and observation group， 150 cases in each group， the control group underwent minimally invasive paraspinal approach pedicle internal fixation， the observation group underwent new spinal fixator combined with minimally invasive paraspinal approach pedicle fixation. After the operation， the 2 groups were compared （postoperative bed time， treatment costs， total hospital stay）， Frankel classification， incidence of complications， Cobb angle before and after the operation and the height of vertebral body height.Result：Postoperative ambulation time，hospitalization time and treatment costs of the observation group were significantly lower than those of the control group，there were statistical significance（P0.05），Cobb angle of the observation group were significantly lower than those in control group，anterior vertebral height ratio was significantly higher than the control group，there were statistical significance（P 　　【Key words】 Thoracolumbar spine fracture； New spinal external fixator； Minimally invasive 　　First-author’s address：The People’s Hospital of Heyuan City，Heyuan 517000，Ch