|
|
Clinical effect observation of m inimally invasive spinal trauma surgery in the treatment of spinal trauma |
ZENG Jing-ping YUAN Zhi-feng CHEN Xu-lin |
Department of Emergency,the First People′s Hospital of Jingdezhen City in Jiangxi Province,Jingdezhen 333000,China |
|
|
Abstract ObjectiveTo observe the clinical effect of minimally invasive spinal trauma surgery in the treatment of spinal trauma.M ethodsFrom January 2013 to January 2016,83 cases of spinal trauma in our hospital were selected as the research object,all patientswere randomly divided into the observation group (42 cases)and the control group(41 cases).The observation group was givenminimally invasive spine trauma surgery,the control group was treated with traditional open spinal trauma surgery.The observation indexes related to the clinical efficacy,the operation time,bleeding volume,bed rest time,hospitalization time,postoperative 24 h pain and postoperative complications of the two groups were compared.ResultsThemarkedly effective rate of the observation group was 92.86%,which was significantly higher than 73.17%of the control group,with significant difference (P<0.05).The operation time of the observation group was longer than that of the control group,the amount of bleeding in the operation of the observation group was less than that of the control group,and the pain score of the 24 h after operation of the observation group was lower than that of the control group,and the hospitalization time and bed rest time of the observation group was significantly shorter than that of the control group,with significant difference(P<0.05).The incidence rate of postoperative complications in the observation group was 4.76%,which was significantly lower than 24.39%in the control group,with significant difference(P<0.05).ConclusionMinimally invasive spinal trauma surgery can significantly reduce the surgical injury to patients,reduce the incidence rate of postoperative complications,improve clinical efficacy,and accelerate the recovery of patients,and has good clinical value.
|
|
|
|
|
[1] |
王晓东,牛清海.微创手术治疗脊柱创伤的疗效研究[J].转化医学电子杂志,2015,2(12):28.
|
[2] |
杨五洲,曹奇,杨铁军,等.经皮椎间孔镜治疗腰椎间盘突出症的临床应用[J].实用医学杂志,2016,32(4):633-635.
|
[3] |
Yang WZ,Cao Q,Yang TJ,et al.Clinical application of percutaneous endoscopic lumbar discectomy in the treatment of lumbar disc herniation[J]JPractMed,2016,32(4):633-635.
|
[4] |
黄科锋,赵国宏,黄华.X线平片和CT在脊柱骨折诊断中的联合应用价值[J].放射学实践,2010,17(3):247.
|
[5] |
谢一方,黄庆华,吴罗根,等.探讨微创技术在脊柱创伤手术中的临床效果[J].中国卫生产业,2013,10(29):106.
|
[6] |
王帅.微创脊柱创伤手术治疗脊柱创伤的临床效果观察[J].临床研究,2016,24(11):47-48.
|
[7] |
谢忠志,梁斌,韦敏克,等.微创与常规手术治疗单纯极外侧型腰椎间盘突出症的比较分析[J].广西医学,2012,34(4):444-446.
|
[8] |
沈广荣,王海霞.急性脊柱创伤的诊断与治疗探析[J].深圳中西医结合杂志,2015,25(5):40-41.
|
[9] |
王瑞斌.微创技术在脊柱创伤手术中的应用[J].实用临床医学,2014,5(12):56-57.
|
[10] |
都香莲,饶义,赵丽萍,等.微创手术治疗腰椎间盘突出症156例临床观察与护理探讨[J].大理学院学报(综合版),2012,4(1):86-88.
|
[11] |
刘丰平,赵红卫,陈海丹,等.TESSYS椎间孔镜治疗腰椎间盘突出症的学习曲线及经验[J].中国矫形外科杂志,2016,24(3):235-241.
|
[12] |
韩广,汤锋武,张赛,等.经皮椎间孔镜技术治疗腰椎间盘突出症和腰椎间孔狭窄的并发症原因分析与处理[J].中国现代神经疾病杂志,2016,16(4):210-215.
|
[14] |
韩鹏勃,郝世渊.PCS椎弓根螺钉治疗脊柱创伤相关疾病的临床效果分析[J].河北医药,2014,36(17):2604-2606.
|
[15] |
潘益山,李国庆.Sextant经皮微创脊柱内固定治疗创伤性胸腰椎骨折的临床观察[J].西南国防医药,2016,26(8):926-928.
|
[13] |
Han G,Tang FW,Zhang S,et al.Analysis and treatment of surgical complications after percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis[J].Chin JContemp Neurol Neurosurg,2016,16(4):210-215.
|
|
|
|