胡清名 唐新华

[摘要]目的 探讨后路经皮微创椎弓根钉棒系统内固定术治疗胸腰椎骨折的临床效果。方法 选取我院2017年1月～2018年6月收治的60例胸腰椎骨折患者，按照随机数字表法分为观察组和对照组，各30例，对照组采用后路切开椎弓钉棒系统内固定术，观察组采用后路经皮微创椎弓根钉棒系统内固定术，比较两组手术时长、术中出血量及术后并发症发生情况。结果 观察组有效率高于对照组，手术时长短于对照组，术中出血量少于对照组，术后并发症发生率低于对照组，差异均有统计学意义（P<0.05）。结论 与后路切开椎弓钉棒系统内固定术比较，后路经皮微创椎弓根钉棒系统内固定治疗胸腰椎骨折临床效果显著，值得在临床治疗中推广应用。

[关键词]经皮微创椎弓根钉棒;内固定;胸腰椎骨折;临床效果

[中图分类号] R683.2          [文献标识码] A          [文章编号] 1674-4721（2020）7（b）-0090-03

The clinical effect of posterior percutaneous minimally invasive pedicle screw rod system internal fixation in the treatment of thoracolumbar fractures

HU Qing-ming   TANG Xin-hua

Department of Orthopedics， Ji′an People′s Hospital in Ji′an City， Jiangxi Province， Ji′an   343100， China

[Abstract] Objective To investigate the clinical effect of posterior minimally invasive percutaneous pedicle screw rod system internal fixation in the treatment of thoracolumbar fractures. Methods A total of 60 patients with thoracolumbar fractures admitted in our hospital from January 2017 to June 2018 were selected and divided into observation group and control group according to the random number table method， 30 cases in each group. The control group received posterior incision vertebral arch screw system internal fixation， and the observation group received posterior minimally invasive percutaneous pedicle screw system internal fixation. The operation duration， blood loss and postoperative complications of the two groups were observed and analyzed. Results The effective rate of the observation group was higher than that of the control group， the length of operation was shorter than that of the control group， the intraoperative blood loss was less than that of the control group， and the incidence of postoperative complications was lower than that of the control group， all with statistically significant differences （P<0.05）. Conclusion Compared with the internal fixation of posterior pedicle screw and rod system， the posterior percutaneous minimally invasive pedicle screw and rod system for the treatment of thoracolumbar fractures has a significant clinical effect and is worthy of popularization and application in clinical treatment.

[Key words] Minimally invasive percutaneous pedicle screw rod; Internal fixation; Thoracolumbar fracture; Clinical effect

隨着国民经济的飞速发展，我国越来越重视交通在经济发展中的促进作用，因此交通事故的发生也大大增加，导致胸腰段椎体爆裂的发病率逐渐上升，成为影响人们生活质量的骨科疾病之一[1]。由于腰椎部位占据人体生理结构的特殊位置，直接关系到脊柱功能损伤程度，因此如何更好地促进患者的胸、腰椎体复位，降低术后并发症的发生，一直是临床骨科研究的热点问题[2]。随着微创医学的发展，经皮微创技术开始广泛应用于胸腰椎骨折治疗中[3]。本研究拟评价经皮微创椎弓根钉棒内固定术对胸腰椎骨折的疗效。

1资料与方法

1.1一般资料

选取我院2017年1月～2018年6月收治的60例胸腰椎骨折患者，按照随机数字表法分为两组，各30例。观察组中，男17例，女13例，年龄17～66岁，平均（40.64±4.73）岁。……