摘要
目的对比微创手术与传统开放手术治疗脊柱创伤的临床效果。方法选取2017年6月至2020年6月我院收治的脊柱创伤患者105例,根据手术方法的不同分为两组。对照组48例采用传统开放手术治疗,观察组57例采用微创手术治疗,比较两组的手术相关指标、疼痛评分以及术后并发症。结果观察组的手术时间长于对照组,但术中出血量少于对照组,术后下床活动时间及住院时间均短于对照组(P<0.05)。术前,两组的VAS评分无显著差异(P>0.05);术后24 h、术后7 d,观察组的VAS评分均低于对照组(P<0.05)。观察组的术后并发症发生率为8.77%,低于对照组的22.92%(P<0.05)。结论与传统开放手术相比,微创手术治疗脊柱创伤对患者的损伤较小,可有效缓解患者术后疼痛,降低术后并发症发生率。
Objective To compare the clinical effects of minimally invasive surgery and traditional open surgery in the treatment of spinal trauma.Methods 105 patients with spinal trauma admitted to our hospital from June 2017 to June 2020 were selected and divided into two groups according to different treatment methods.48 cases of the control group were treated with traditional open surgery,and 57 cases of the observation group were treated with minimally invasive surgery.The surgical related indicators,pain score and postoperative complications were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,but the amount of intraoperative blood loss was less than that of the control group,and the postoperative activity time and hospitalization time were shorter than those of the control group(P<0.05).Before surgery,no significant difference was found in the VAS score between the two groups(P>0.05);24 h and 7 d after surgery,the VAS scores of the observation group were lower than those of the control group(P<0.05).The incidence of postoperative complications of the observation group was 8.77%,lower than 22.92%of the control group(P<0.05).Conclusions Compared with traditional open surgery,minimally invasive surgery in the treatment of spinal trauma causes less injury to patients,and can effectively relieve postoperative pain and reduce the incidence of postoperative complications.
作者
李增磊
包杰
谭平先
左文建
LI Zenglei;BAO Jie;TAN Pingxian;ZUO Wenjian(Shenzhen Longgang Central Hospital,Shenzhen 518000,China)
出处
《临床医学工程》
2021年第6期755-756,共2页
Clinical Medicine & Engineering
关键词
脊柱创伤
微创手术
传统开放手术
临床效果
Spinal trauma
Minimally invasive surgery
Traditional open surgery
Clinical effect
