临床骨科杂志2018，Vol.21Issue(2)：136-140,5.DOI:10.3969/j.issn.1008-0287.2018.02.004
3种不同手术入路治疗胸腰椎骨折的疗效比较
Comparison effect of three different surgical approaches in the treatment of thoracolumbar fractures
胡铮 1林勇彬 1林可新 1黄青1
作者信息
- 1. 揭阳市人民医院(中山大学附属揭阳医院)骨科,广东 揭阳 522000
- 折叠
摘要
Abstract
Objective To compare of the clinical efficacy of traditional posterior median approach, paraspinal ap-proach and minimally invasive percutaneous approach in the treatment of thoracolumbar fractures. Methods The 60 cases patients of thoracolumbar fractures were treated by surgery via different surgical approaches,including tradition-al group (the middle approach),paraspinal group (paraspinal approach) and percutaneous group (minimally inva-sive percutaneous approach),20 cases in each group. The 3 groups were compared by the operation condition,serum creatine kinase,VAS,ODI score and postoperative imaging parameters. Results All patients were followed up for 13~19 months,the incisions were all healed by the first intention and recovered without any serious complications. The incision length,surgical time,intraoperative blood loss,hospitalization time,imaging follow-up of injuried verte-bra anterior height and Cobb′s angles had no statistically significant differences(P>0.05).Serum creatine kinase levels in traditional group were significantly higher than the other two groups on day 1 and 3 after operation(P <0.05). On the day 7 after operation,the serum creatine kinase level had no statistically significant difference(P>0.05).The VAS and ODI score in paraspinal group and percutaneous group were significantly lower than the tradi-tional group in 3 months after operation (P<0.05),which had no statistically significant differences in 1 week and 12 months after operation in 3 groups(P>0.05). Conclusions The surgical treatment of thoracolumbar fractures without neurological symptoms, paraspinal approach and minimally invasive percutaneous approach are both in the concept of minimally invasive,however,the former shows a slight advantage.关键词
胸腰椎骨折/肌间隙入路/经皮Key words
thoracolumbar fractures/paraspinal approach/percutaneous分类
医药卫生引用本文复制引用
胡铮,林勇彬,林可新,黄青..3种不同手术入路治疗胸腰椎骨折的疗效比较[J].临床骨科杂志,2018,21(2):136-140,5.
