急性脊柱创伤临床诊断与治疗方法

摘要

目的：探讨急性脊柱创伤的临床诊断与治疗方法。方法将急性脊柱创伤163例随机分为两组，两组均给予X线、CT及MRI检查，实验组行椎弓根螺钉内固定手术治疗，对照组行传统开放手术治疗。比较两组的治疗效果。结果实验组手术时间（117.87±5.78）min、术中出血量（118.76±11.45）mL、疼痛评分（3.30±1.47）分、住院时间（7.62±2.61）d均少于对照组，术后切口感染、应用镇痛药、并发症的总发生率（6.10%）低于对照组（60.49%），两组差异有统计学意义（P＜0.05）。结论急性脊柱创伤患者行X线、CT及MRI检查，并行椎弓根螺钉内固定手术治疗，术中、术后情况理想。%Objective To investigate the clinical diagnosis of acute spinal trauma and treatment.Methods163 cases of acute spinal trauma were divided into two groups, two groups were given X-ray, CT and MRI, the experimental group underwent pedicle screw fixation treatment, the control group underwent conventional open surgery.ResultsThe operation time [(117.87±5.78) min], blood loss [(118.76±11.45) mL], pain score [(3.30±1.47) min], length of hospital stay [(7.62±2.61) d] are less than the control group, postoperative infection, the overall incidence of analgesic use, complications (6.10%) than the control group (60.49%) difference between two groups was statistically significant (P<0.05).Conclusion Patients with acute spinal trauma X-ray, CT and MRI, parallel pedicle screw ifxation surgery, intraoperative, postoperative ideal situation.