微創(chuàng)脊柱創(chuàng)傷手術(shù)治療脊柱創(chuàng)傷的臨床效果觀察

曾景平　袁志峰　陳緒林

[摘要]目的 觀察微創(chuàng)脊柱創(chuàng)傷手術(shù)治療脊柱創(chuàng)傷的臨床效果。方法 選擇2013年1月～2016年1月在我院進(jìn)行脊柱創(chuàng)傷治療的83例患者作為研究對象，隨機(jī)分為觀察組（42例）和對照組（41例）。觀察組給予微創(chuàng)脊柱創(chuàng)傷手術(shù)，對照組給予傳統(tǒng)開放式脊柱創(chuàng)傷手術(shù)治療，觀察兩組的臨床療效、手術(shù)時間、術(shù)中出血量、臥床時間、住院時間、術(shù)后24 h疼痛情況等手術(shù)相關(guān)指標(biāo)及術(shù)后并發(fā)癥。結(jié)果 觀察組的顯效率為92.86%，顯著高于對照組的73.17%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組的手術(shù)時間長于對照組，術(shù)中出血量少于對照組，術(shù)后24 h疼痛評分低于對照組，住院時間以及臥床時間均顯著短于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組的術(shù)后并發(fā)癥發(fā)生率為4.76%，顯著低于對照組的24.39%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 微創(chuàng)脊柱創(chuàng)傷手術(shù)能夠明顯減輕手術(shù)對患者的損傷，降低術(shù)后并發(fā)癥發(fā)生率，提高臨床療效，加速患者恢復(fù)，具有較好的臨床應(yīng)用價值。

[關(guān)鍵詞]微創(chuàng)；脊柱；創(chuàng)傷手術(shù)；臨床效果

[中圖分類號] R681.5 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-4721（2017）08（a）-0087-03

[Abstract]Objective To observe the clinical effect of minimally invasive spinal trauma surgery in the treatment of spinal trauma.Methods From January 2013 to January 2016，83 cases of spinal trauma in our hospital were selected as the research object，all patients were randomly divided into the observation group （42 cases） and the control group （41 cases）.The observation group was given minimally 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.Results The markedly 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）.Conclusion Minimally 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.

[Key words]Minimally invasive；Spine；Trauma surgery；Clinical effect

脊柱創(chuàng)傷是臨床常見的外科疾病，是因?yàn)橥饨缫蛩厮斐傻募怪鶕p傷[1]。脊柱損傷包括脊柱骨折、神經(jīng)損傷以及軟組織損傷等多種類型，其病情往往比較嚴(yán)重，因?yàn)榧怪谌梭w具有重要的生理功能，如果不能及時有效地處理，往往會導(dǎo)致嚴(yán)重的后遺癥產(chǎn)生，有較高的致殘率，是外科手術(shù)遇到的比較棘手的問題[2-3]。脊柱創(chuàng)傷臨床治療包括非手術(shù)和手術(shù)兩種治療方案，對于病情嚴(yán)重、非手術(shù)治療不能恢復(fù)的患者，往往選擇手術(shù)治療，但是傳統(tǒng)的手術(shù)治療會使患者產(chǎn)生二次創(chuàng)傷，預(yù)后往往不佳[4-5]。近年來微創(chuàng)手術(shù)在脊柱外科的普及為解決上述問題提供了新的途徑，為了觀察其臨床療效，本研究對行脊柱創(chuàng)傷治療的患者進(jìn)行了臨床研究，現(xiàn)將結(jié)果報(bào)道如下。endprint