局解手术学杂志2017，Vol.26Issue(4)：252-255,4.DOI:10.11659/jjssx.12E016018
在野战综合手术救治方舱中行经皮椎弓根螺钉内固定术的实践
Application of percutaneous pedicle screw internal fixation in the field comprehensive operation rescue shelter
摘要
Abstract
Objective To discuss the recent clinical efficacy of percataneous pedicle screw internal fixation for thoracolumbar fractures without neurological deficit in the new field comprehensive operation rescue shelter at the war or disaster treatment place.Methods Retrospectively analyzed the clinical data of 29 patients with thoracolumbar fractures who were rescued by our hospital.Those patients included 18 males and 11 females,with the average age of (31.54±2.86) years old.All these patients underwent percutaneous pedicle screw internal fixation in the new field comprehensive operation rescue shelter.Clinical and surgical evaluation including surgery time,blood loses,exercise time after operation and complications.Functional outcomes of pre-operation and post-operation were evaluated by visual analog scale (VAS) and Oswestry disability index (ODI).Cobb's angle and fracture vertebral body front height were compared before and after operation as well.Results All these patients were all successfully completed operation in the field comprehensive operation rescue shelter,and the general post-operation condition was well.The operation time was (86.55±16.15)min,the blood loss was (42.35±6.55)mL,the exercise time after operation was (1.20±0.61) days.There was no complications after operation, and pain of thoracolumbar after operation was obviously alleviated.There was statistical differences in terms of Cobb's angle,fracture vertebral body front height,VAS score and ODI score between pre-operation and post-operation (P<0.05).Conclusion The percataneous pedicle screw internal fixation in the new field comprehensive operation rescue shelter is a quite effective method for thoracolumbar fractures without neurological deficit, and this method is worthy of promoting at the scene when war or disaster urgency treatment.关键词
经皮椎弓根螺钉/野战救治方舱/胸腰椎骨折/急救装备/便携式Key words
percataneous pedicle screw internal fixation/field comprehensive operation rescue shelter/thoracolumbar fracture/first-aid equipment/portable分类
医药卫生引用本文复制引用
李卓,谢雁春,轩安武,赵阳阳,于海龙..在野战综合手术救治方舱中行经皮椎弓根螺钉内固定术的实践[J].局解手术学杂志,2017,26(4):252-255,4.基金项目
解放军总后勤部卫生部科研基金(15QNP004) （15QNP004）
