两种术式治疗胸腰椎骨折的疗效比较OA
Comparison efficacy of two types of surgical procedures on the spinal fractures
目的 比较经皮椎弓根螺钉内固定术(PPSF)和开放椎弓根螺钉内固定术(OPSF)治疗胸腰椎骨折的疗效.方法 根据治疗方法不同将80例胸腰椎骨折患者分为PPSF组(采用PPSF治疗,40例)和OPSF组(采用OPSF治疗,40例).比较两组手术情况、腰痛及腿痛VAS评分、ODI.结果 患者均获得随访,时间12～18个月.术中出血量、手术时间、术后卧床时间、术后住院时间PPSF组均少(短)于OPSF组(P＜0.01).腰痛及腿痛VAS评分、ODI:两组术后3个月、末次随访时均低于术前(P＜0.05),术后3个月、末次随访时PPSF组均低于OPSF组(P＜0.05).结论 在胸腰椎骨折的治疗中,PPSF早期功能恢复优于OPSF,并具有术中出血量少、手术时间短、患者疼痛改善更好的优势.
Objective To compare the therapeutic effect of percutaneous pedicle screw internal fixation(PPSF)and open pedicle screw internal fixation(OPSF)in the treatment of thoracolumbar fracture.Methods The 80 patients with thoracolumbar fractures were divided into the PPSF group(treated with PPSF,40 cases)and the OPSF group(treated with OPSF,40 cases)based on the different treatment methods.The surgical conditions,VAS for low back pain and leg pain,and ODI were compared between the two groups.Results All patients were followed up for 12-18 months.The intraoperative blood loss,operation time,postoperative bed rest time,and postoperative hospital stay in the PPSF group were all less(shorter)than those in the OPSF group(P＜0.01).The VAS for low back pain and leg pain and ODI:At 3 months after surgery and the last follow-up,they were both lower than those before surgery in both groups(P＜0.05),and the data of PPSF group were lower than the OPSF group(P＜0.05).Conclusions In the treatment of thoracolumbar fractures,PPSF provides earlier functional recovery than OPSF,and has the advan-tages of less intraoperative blood loss,shorter operation time,and better pain improvement in patients.
苏来曼·热合曼;阿卜杜吾普尔·海比尔;孟祥玉
新疆医科大学第六附属医院微创脊柱外科,新疆乌鲁木齐 830002新疆医科大学第六附属医院微创脊柱外科,新疆乌鲁木齐 830002新疆医科大学第六附属医院微创脊柱外科,新疆乌鲁木齐 830002
医药卫生
胸腰椎骨折经皮椎弓根螺钉内固定术开放椎弓根螺钉内固定术
thoracolumbar vertebral fracturepercutaneous pedicle screw fixationopen pedicle screw fixation
《临床骨科杂志》 2026 (4)
486-489,4
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