曾景平 袁志峰 陈绪林
[摘要]目的 观察微创脊柱创伤手术治疗脊柱创伤的临床效果。方法 选择2013年1月～2016年1月在我院进行脊柱创伤治疗的83例患者作为研究对象，随机分为观察组（42例）和对照组（41例）。观察组给予微创脊柱创伤手术，对照组给予传统开放式脊柱创伤手术治疗，观察两组的临床疗效、手术时间、术中出血量、卧床时间、住院时间、术后24 h疼痛情况等手术相关指标及术后并发症。结果 观察组的显效率为92.86%，显著高于对照组的73.17%，差异有统计学意义（P<0.05）。观察组的手术时间长于对照组，术中出血量少于对照组，术后24 h疼痛评分低于对照组，住院时间以及卧床时间均显著短于对照组，差异有统计学意义（P<0.05）。观察组的术后并发症发生率为4.76%，显著低于对照组的24.39%，差异有统计学意义（P<0.05）。结论 微创脊柱创伤手术能够明显减轻手术对患者的损伤，降低术后并发症发生率，提高临床疗效，加速患者恢复，具有较好的临床应用价值。
[关键词]微创；脊柱；创伤手术；临床效果
[中图分类号] R681.5 [文献标识码] A [文章编号] 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
脊柱创伤是临床常见的外科疾病，是因为外界因素所造成的脊柱损伤[1]。脊柱损伤包括脊柱骨折、神经损伤以及软组织损伤等多种类型，其病情往往比较严重，因为脊柱在人体具有重要的生理功能，如果不能及时有效地处理，往往会导致严重的后遗症产生，有较高的致残率，是外科手术遇到的比较棘手的问题[2-3]。脊柱创伤临床治疗包括非手术和手术两种治疗方案，对于病情严重、非手术治疗不能恢复的患者，往往选择手术治疗，但是传统的手术治疗会使患者产生二次创伤，预后往往不佳[4-5]。近年来微创手术在脊柱外科的普及为解决上述问题提供了新的途径，为了观察其临床疗效，本研究对行脊柱创伤治療的患者进行了临床研究，现将结果报道如下。endprint
