摘要
目的探讨胸腰椎骨折患者给予经肌间隙入路复位固定治疗对其疼痛程度及伤椎功能的影响。方法86例胸腰椎骨折患者,按照随机摸球法分成观察组和对照组,每组43例。观察组患者采用经肌间隙入路复位固定治疗,对照组患者采用后路复位固定治疗。比较两组手术相关指标、并发症发生情况及手术前后疼痛程度、伤椎功能。结果观察组术中出血量(106.14±26.65)ml明显少于对照组的(215.52±53.79)ml,手术时间(82.35±12.77)min、下床时间(3.83±0.61)d、住院时间(11.26±3.75)d、骨折愈合时间(6.18±1.23)个月明显短于对照组的(103.62±15.93)min、(6.73±1.12)d、(19.43±5.04)d、(7.52±2.77)个月,差异具有统计学意义(P<0.05)。术后即刻、1个月、6个月,两组视觉模拟评分法(VAS)评分均较本组术前明显降低,且观察组VAS评分(4.35±1.28)、(2.11±0.43)、(0.64±0.18)分低于对照组的(5.17±1.32)、(3.08±0.46)、(1.75±0.43)分,差异具有统计学意义(P<0.05)。术后6个月,两组Roland-Morris功能障碍调查表(RDQ)评分均较本组术前明显降低,且观察组RDQ评分(10.47±1.28)分明显低于对照组的(14.96±1.15)分,差异具有统计学意义(P<0.05)。观察组并发症发生率为4.65%,明显低于对照组的20.93%,差异具有统计学意义(P<0.05)。结论胸腰椎骨折患者给予经肌间隙入路复位固定治疗,能够缩短骨折愈合时间,减轻患者疼痛,改善伤椎功能,减少并发症的发生。
Objective To discuss the effect of reduction and fixation via intermuscular space on pain level and function of injured vertebrae in patients with thoracolumbar fractures.Methods A total of 86 patients with thoracolumbar fracture were randomly divided into observation group and control group,with 43 cases in each group.The observation group was treated with reduction and fixation via intermuscular space,while the control group was treated with posterior reduction and fixation.The surgery related indexes,occurrence of complications,pain level before and after surgery,and function of injured vertebrae were compared between the two groups.Results The intraoperative blood loss of(106.14±26.65)ml in the observation group was significantly less than that of(215.52±53.79)ml in the control group;the observation group had operative time of(82.35±12.77)min,ambulation time of(3.83±0.61)d,hospitalization time of(11.26±3.75)d and fracture healing time of(6.18±1.23)months,which were significantly shorter than those of(103.62±15.93)min,(6.73±1.12)d,(1943±5.04)d and(7.52±2.77)months in the control group;the differences were statistically significant(P<0.05).Immediately after surgery,1 month,6 months,the visual analogue scale(VAS)scores of both groups were significantly lower than those of this group before surgery;VAS scores of the observation group were(4.35±1.28),(2.11±0.43)and(0.64±0.18)points,which were lower than those of(5.17±1.32),(3.08±0.46)and(1.75±0.43)points of the control group;the differences were statistically significant(P<0.05).At 6 months after surgery,Roland-Morris disability questionnaire(RDQ)in both groups were significantly lower than those before surgery in this group;RDQ score of(10.47±1.28)points in the observation group was significantly lower than that of(14.96±1.15)points in the control group;the differences were statistically significant(P<0.05).The incidence of complications of the observation group was 4.65%,which was significantly lower than that of 20.93%of the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with thoracolumbar fracture,reduction and fixation via intermuscular space can shorten the healing time of fracture,reduce the pain of patients,improve the function of injured vertebrae,and reduce the occurrence of complications.
作者
林志成
王汉龙
吴毅峰
LIN Zhi-cheng;WANG Han-long;WU Yi-feng(Second Department of Spine,Quanzhou Orthopedic Hospital,Quanzhou 362200,China)
出处
《中国现代药物应用》
2023年第8期14-17,共4页
Chinese Journal of Modern Drug Application
关键词
胸腰椎骨折
经肌间隙入路复位固定
疼痛程度
伤椎功能
并发症
Thoracolumbar fractures
Reduction and fixation via intermuscular space
Pain level
Function of injured vertebrae
Complications
