首页 | 【重要提示】 | 期刊简介 | 编委会 | 在线投稿 | 期刊稿约 | 联系我们

张鹏翼,于沈敏,蔡兵,李敏,林文.椎旁肌间隙入路与传统后正中入路治疗胸腰段椎体骨折的比较研究[J].脊柱外科杂志,2013,11(2):72-74.
椎旁肌间隙入路与传统后正中入路治疗胸腰段椎体骨折的比较研究     点此下载全文 (Fulltext)
张鹏翼  于沈敏  蔡兵  李敏  林文
200002 上海, 上海市黄浦区中心医院;200002 上海, 上海市黄浦区中心医院;200002 上海, 上海市黄浦区中心医院;200002 上海, 上海市黄浦区中心医院;200002 上海, 上海市黄浦区中心医院
基金项目:
DOI:10.3969/j.issn.1672-2957.2013.02.003
摘要点击次数: 1375
全文下载次数: 1
摘要:
      目的 比较椎旁肌间隙入路与传统后正中入路治疗胸腰段椎体骨折的临床疗效。方法 回顾性分析2004年1月~2011年10月60例无神经症状无须减压的胸腰椎骨折患者,按手术入路方式的不同分为2组:椎旁肌间隙入路19例(A组);传统后正中入路41例(B组)。比较2组的手术时间、术中出血量、疼痛视觉模拟量表 (visual analogue scale,VAS) 评分及椎体高度矫正率等各项临床指标。结果 A组手术时间、出血量和VAS疼痛评分优于B组,差异有统计学意义(P<0.05);而椎体高度矫正率2组间比较差异无统计学意义(P>0.05)。结论 经椎旁肌间隙入路方式与传统后正中入路显露方式比较,具有术者操作简单、创伤小、出血少、术后患者恢复快等优点。
关键词:胸椎  腰椎  脊柱骨折  内固定器  外科手术,微创性
Comparison between paraspinal approach and conventional approach for thoracolumbar vertebraI fracture    Fulltext
ZHANG Peng-yi  YU Shen-min  CAI Bing  LI Min  LIN Wen
Department of Orthopaedics, Shanghai Huangpu District Central Hospital, Shanghai 200002, China;Department of Orthopaedics, Shanghai Huangpu District Central Hospital, Shanghai 200002, China;Department of Orthopaedics, Shanghai Huangpu District Central Hospital, Shanghai 200002, China;Department of Orthopaedics, Shanghai Huangpu District Central Hospital, Shanghai 200002, China;Department of Orthopaedics, Shanghai Huangpu District Central Hospital, Shanghai 200002, China
Fund Project:
Abstract:
      Objective To compare clinical outcome of the operative approaches of thoracolumbar fractures between paraspinal approach and conventional approach.Methods From January 2004 to October 2011, a total of 60 patients suffering from thoracolumbar fractures without nerve injury underwent surgical treatment. Nineteen cases were treated by pedicle screw fixation through paraspinal approach (Group A) and 41 cases were treated through conventional approach (Group B). The following data were compared between 2 groups: operation time, bleeding, visual analogue scale (VAS) scores and correction rate of vertebral height. Results There were statistically significant differences in operation time, bleeding and VAS scores between 2 groups but no significant difference in correction rate of vertebral height. Conclusion The technique of operative treatment through the paraspinal approach has advantages of simpler procedures, less trauma and bleeding and quicker recovery.
Keywords:Thoracic vertebrae  Lumbar vertebrae  Spinal fractures  Internal fixators  Surgical procedures, minimally invasive
HTML   查看全文  查看/发表评论  下载PDF阅读器

您是第4560376位访问者

版权所有 © 脊柱外科杂志    沪ICP备19030205号-1  沪期出证第1907号

地址:上海市成都北路500号峻岭广场 电子信箱:spinejournal@163.com
邮政编码:200003 电话:021-33300675,021-63609919转8537或8855 传真:

本系统由北京勤云科技发展有限公司设计