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5. 微创经皮椎弓根螺钉内固定术治疗胸腰椎骨折的临床疗效分析

微创经皮椎弓根螺钉内固定术治疗胸腰椎骨折的临床疗效分析

来源 :第六届中国微创脊柱外科学术会议暨第一届中美微创脊柱高峰论坛 | 被引量 : 0次 | 上传用户：diaro

【摘 要】

：

目的:探讨微创经皮椎弓根螺钉内固定术治疗胸腰椎骨折的临床疗效.方法:2008-03-2010-12采用微创经皮椎弓根螺钉内固定术治疗胸腰椎骨折患者52例,收集患者的围手术期指标、中期随访的影像学指标、腰背疼痛改善情况进行统计学分析.结果:所有患者均获得18个月至48个月随访,平均32个月.本组病例手术时间48～22 rain,术中出血量为100～25 ml,切口长度68～5.4 mm,住院天数9～

【作 者】

：

段丽群 张文志 尚希福 

【机 构】

：

安徽医科大学附属安徽省立医院骨二科

【出 处】

：

第六届中国微创脊柱外科学术会议暨第一届中美微创脊柱高峰论坛

【发表日期】

：

2014年11期

【关键词】

：

脊柱骨折 胸椎 腰椎 经皮椎弓根螺钉内固定术 

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目的:探讨微创经皮椎弓根螺钉内固定术治疗胸腰椎骨折的临床疗效.方法:2008-03-2010-12采用微创经皮椎弓根螺钉内固定术治疗胸腰椎骨折患者52例,收集患者的围手术期指标、中期随访的影像学指标、腰背疼痛改善情况进行统计学分析.结果:所有患者均获得18个月至48个月随访,平均32个月.本组病例手术时间48～22 rain,术中出血量为100～25 ml,切口长度68～5.4 mm,住院天数9～2.1d.所有患者术后疼痛均明显缓解,与术前比较有统计学差异(P＜0.05).手术前后矢状位后凸Cobb角、矢状位指数、伤椎椎体前缘高度的比较均有显著性差异(尸＜0.05 0术中无一例出现医源性神经根损伤,术后无明显并发症发生.

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