摘要
目的 分析在脊柱创伤治疗中采用微创手术治疗的效果。方法 方便选取2020年1月—2021年7月滨州市第二人民医院收治的72例脊柱创伤患者作为研究对象,根据收诊时间先后次序分组,前36例脊柱创伤患者采用传统开放手术治疗,将其划入对照组,后36例脊柱创伤患者采用微创手术治疗,将其划入微创组,对不同手术方法治疗后临床效果、并发症发生情况等进行比较。结果 微创组总疗效(97.22%),高于对照组(80.56%),差异有统计学意义(χ^(2)=7.633,P<0.05);微创组手术相关手术用时、术中出血量、术后住院用时、术后活动用时、术后视觉模拟评分(VAS)各项数据均优于对照组,差异有统计学意义(t=22.132、58.012、6.074、11.287、18.118,P<0.05);术后微创组Cobb角度、前缘压高度小于对照组,差异有统计学意义(t=4.148、14.047,P<0.05);对照组并发症发生率(36.11%)高于微创组(11.11%),差异有统计学意义(χ^(2)=6.237,P<0.05);从脊髓损伤分级数据来看,微创组在E级中数据高于对照组,差异有统计学意义(χ^(2)=4.531,P<0.05)。结论 微创手术的优势远远优于传统开放手术,且术中操作更加精准,将微创手术应用至脊柱创伤患者当中安全性高、有效性强,且对术者的机体损伤程度低,更加有利于患者术后身体的康复。
Objective To analyze the effect after treatment with minimally invasive surgery in the treatment of spinal trauma.Methods 72 patients with spinal trauma admitted to the Binzhou Second People's Hospital from January 2020 to July 2021 were conveniently selected as the research subjects,the first 36 spinal trauma patients were treated with traditional open surgery and were classified as the control group,and the second 36 spinal trauma patients were treated with minimally invasive surgery and were classified as the minimally invasive group.The clinical outcomes and complication occurrence after treatment with different surgical methods were compared.Results The overall efficacy data of the minimally invasive group was 97.22%,which was higher than that of the control group 80.56%,and the difference was statistically significant(χ^(2)=7.633,P<0.05).The data related to operative time,intraoperative bleeding,postoperative hospitalization time,postoperative activity time,and postoperative Visual Analogue Scale(VAS)score were better in the minimally invasive group than in the control group,and the difference was statistically significant(t=22.132,58.012,6.074,11.287,18.118,P<0.05).Postoperatively,the Cobb angle in the minimally invasive group and the height of anterior margin pressure were lower than those in the control group,and the difference was statistically significant(t=4.148,14.047,P<0.05).The incidence of complications in the control group(36.11%)was higher than that in the minimally invasive group(11.11%),and the difference was statistically significant(χ^(2)=6.237,P<0.05).From the data of spinal cord injury grading, the data of minimally invasive group in grade E was higher than the control group, and the difference was statistically significant (χ^(2)=4.531, P<0.05).Conclusion The advantages of minimallyinvasive surgery are far better than traditional open surgery, and the operation is more precise. The application of minimally invasive surgery to patients with spinal trauma is safe and effective, and the degree of damage to the operator'sbody is low, which is more conducive to the patient's postoperative physical rehabilitation.
作者
张凤军
巴昭臣
李凯
秦伟光
ZHANG Fengjun;BA Zhaochen;LI Kai;QIN Weiguang(Department of Spine and Joint Surgery II,Binzhou Second People's Hospital,Binzhou,Shandong Province,256800)
出处
《中外医疗》
2023年第6期73-77,共5页
China & Foreign Medical Treatment
关键词
微创手术
脊柱创伤
有效性
可行性
Minimally invasive surgery
Spinal trauma
Effectiveness
Feasibility
