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[1]姚曉聰,崔永鋒,朱寶華,等.Wiltse肌間隙入路與常規(guī)入路治療胸腰椎骨折的臨床比較[J].中醫(yī)正骨,2013,25(11):16-18.
　Yao Xiaocong*,Cui Yongfeng,Zhu Baohua,et al.A retrospective trial of Wiltse's muscle gap approach versus conventional approach on the treatment of thoracolumbar vertebral fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(11):16-18.
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Wiltse肌間隙入路與常規(guī)入路治療胸腰椎骨折的臨床比較()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年11期
頁(yè)碼:
16-18
欄目:
臨床研究
出版日期:
2013-11-30

文章信息/Info

Title:
A retrospective trial of Wiltse's muscle gap approach versus conventional approach on the treatment of thoracolumbar vertebral fractures
作者:
姚曉聰; 崔永鋒; 朱寶華; 管功奎
浙江省杭州市蕭山區(qū)第一人民醫(yī)院,浙江 杭州 311200
Author(s):
Yao Xiaocong*; Cui Yongfeng; Zhu Baohua; Guan Gongkui.*
The First People's Hospital of Xiaoshan District,Hangzhou 311200,Zhejiang,China
關(guān)鍵詞:
脊柱骨折 胸椎 腰椎 骨折固定術(shù); 內(nèi) Wiltse肌間隙入路 治療; 臨床研究性
Keywords:
Spinal fractures;  Thoracic vertebrae;  Lumbar vertebrae;  Fracture fixation; internal;  Wiltse's muscle gap approach;  Therapies; investigational
摘要:
目的:探討經(jīng)Wiltse肌間隙入路治療胸腰椎骨折的可行性。方法:回顧性分析48例胸腰椎骨折患者的病歷資料,經(jīng)常規(guī)手術(shù)入路行后路椎弓根螺釘內(nèi)固定術(shù)者25例為對(duì)照組(A組); 經(jīng)Wiltse肌間隙入路行椎弓根螺釘內(nèi)固定者23例為觀察組(B組)。比較2組患者的手術(shù)時(shí)間、切口長(zhǎng)度、術(shù)中出血量、引流量、術(shù)后疼痛視覺(jué)摸擬評(píng)分、Cobb's角及術(shù)后日本骨科協(xié)會(huì)評(píng)分。結(jié)果:A組患者的手術(shù)時(shí)間、出血量、引流量術(shù)后VAS評(píng)分均大于B組[(80.04±9.650)min,(60.48±6.374)min,t=8.210,P=0.000;(280.40±56.60)mL,(180.43±60.11)mL,t=5.934,P=0.000;(161.60±44.31)mL,(120.00±28.28)mL,t=3.838,P=0.000;(5.792±1.444),(3.087±1.203),t=3.838,P=0.000]; 2組患者的切口長(zhǎng)度、術(shù)后JOA評(píng)分及手術(shù)前后Cobb's角比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義[(10.40±1.49)cm,(10.33±1.49)cm,t=0.171,P=0.865;(27.280±1.487),(26.348±1.921),t=1.889,P=0.065;(22.060±4.887),(22.870±5.513),t=-0.539,P=0.592;(6.204±1.737),(6.844±1.359),t=-1.412,P=0.165]。結(jié)論:與常規(guī)手術(shù)入路相比,經(jīng)Wiltse肌間隙入路內(nèi)固定治療胸腰椎骨折具有手術(shù)時(shí)間短、出血量少及術(shù)后疼痛程度低的優(yōu)點(diǎn),值得推廣。
Abstract:
Objective:To explore the feasibility of Wiltse's muscle gap approach on the treatment of thoracolumbar vertebral fractures.Methods:The medical records of 48 patients with thoracolumbar vertebral fractures were retrospectively analyzed.Twenty-five patients(group A)were administrated with posterior pedicle screw internal fixation by conventional operative approach,while the others(group B)were administrated with posterior pedicle screw internal fixation by Wiltse's muscle gap approach.The two groups were compared with each other in such parameters as operative time,length of incision,blood loss,drainage volume,postoperative VAS score,Cobb's angle and postoperative JOA score.Results:The operative time,blood loss,drainage volume,postoperative VAS score were larger of group A were all higher than those of groupB(80.04+/-9.650 vs 60.48+/-6.374 min,t=8.210,P=0.000; 280.40+/-56.60 vs 180.43+/-60.11 mL,t=5.934,P=0.000; 161.60+/-44.31 vs 120.00+/-28.28 mL,t=3.838,P=0.000; 5.792+/-1.444 vs 3.087+/-1.203,t=3.838,P=0.000).There was no statistical difference in the length of incision,postoperative JOA score and Cobb's angle preoperative and postoperative between the 2 groups(10.40+/-1.49 vs 10.33+/-1.49 cm,t=0.171,P=0.865; 27.280+/-1.487 vs 26.348+/-1.921,t=1.889,P=0.065; 22.060+/-4.887 vs 22.870+/-5.513,t=-0.539,P=0.592; 6.204+/-1.737 vs 6.844+/-1.359,t=-1.412,P=0.165).Conclusion:Compared with conventional operation approach,the Wiltse's muscle gap approach on the treatment of thoracolumbar vertebral fracture has such advantages as shorter operation time,less blood loss and lower degree of postoperative pain,so it is worth popularizing in clinic.

參考文獻(xiàn)/References:

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[4] 胡慶豐,范順武,潘浩,等. 肌間隙入路椎弓根釘固定結(jié)合椎體成形術(shù)治療胸腰椎骨折[J].中國(guó)中西醫(yī)結(jié)合外科雜志,2010,16(1):5-9.

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備注/Memo

備注/Memo:
2013-07-21收稿 2013-10-31修回
更新日期/Last Update: 2013-11-30