目的：对比经皮微创与开放式椎弓根螺钉内固定术对胸腰椎段脊柱骨折的临床疗效。方法选取2011年1月至2012年7月在襄阳市中医医院骨科诊断为胸腰椎段脊柱骨折且适宜行手术的患者73例作为研究对象，其中接受经皮微创椎弓根螺钉内固定术治疗的患者38例（观察组），接受开放式椎弓根螺钉内固定术治疗的患者35例（对照组），比较两组患者的治疗效果。结果两组手术时间比较，差异无统计学意义（ P＞0．05）；观察组手术切口长度、术中出血量、术后引流量及住院时间、疼痛评分等均优于对照组，差异有统计学意义（ P＜0．05）。两组术后凸 Cobb′s角、椎体矢状面指数、椎体前缘高度与术前比较，差异有统计学意义（ P＜0．05）；两组术后各指标比较，差异无统计学意义（ P＞0．05）。结论经皮椎弓根螺钉固定术式在胸腰椎段脊柱骨折患者的治疗中具有微创、疼痛轻、患者恢复快等优点，值得临床推广应用。%Objective To compare the clinical efficacy of minimally invasive percutaneous and open pedicle screw fixation for thoracolumbar spine fractures .Methods A total of 38 patients ( the observation group) treated with the minimally invasive percutaneous pedicle screw fixation and 35 patients ( the control group) treated with the open pedicle screw fixation in Xiangyang Hospital of Traditional Chinese Medicine from Jan.2011 to Jul.2012 were selected and the therapeutic efficacy were compared .Results There was no statistically significant difference in the operation time between the two groups (P>0.05).The incision length,blood loss,postoperative drainage and hospitalization time, pain scores of the observation group were better than those of the control group(P<0.05).There were statistically significant differences in the con-vex Cobb′s angle, vertebral sagittal index and vertebral height of the two groups before and after surgery ( P<0.05), while there was no statistically significant difference in all the indicators between the two groups after surgery(P>0.05).Conclusion The treatment of percutaneous pedicle screw fixation for the thoracic andi lumbar spine type fractures has the advantages of minimally invasive , less pain and quick recovery , thus is worthy of clinical application.
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