祝茂松 龚俊 夏进先

    【摘要】 目的：比較经皮椎弓根钉微创和开放椎弓根钉内固定在胸腰椎段脊柱骨折患者中的临床治疗效果及对患者生活质量水平的影响。方法：选择2010年6月-2018年6月在本院接受手术治疗的240例胸腰椎段脊柱骨折患者作为研究对象，按照患者选择手术方式的不同将其分为对照组和观察组，每组120例。对照组给予开放椎弓根钉内固定，观察组给予经皮椎弓根钉微创手术。观察两组临床疗效，术后随访观察两组并发症发生情况，采用健康调查简表(SF-36)对两组患者治疗前后生活质量评分进行评估。结果：观察组临床治疗总有效率为95.00%(114/120)，对照组为76.67%(92/120)，两组比较差异有统计学意义(P0.05);观察组治疗后其他七项评分均高于对照组，BP评分低于对照组，差异均有统计学意义(P[Abstract] Objective： To compare the clinical effect of minimally invasive percutaneous pedicle screw and open pedicle screw fixation in the treatment of thoracolumbar vertebral fracture and the impact on the quality of life of patients. Method： A total of 240 patients with thoracolumbar vertebral fracture treated in our hospital from June 2010 to June 2018 were selected as the research objects， the patients were divided into the control group and the observation group， 120 cases in each group. Patients in the control group were treated with open pedicle screw fixation， and patients in the observation group were treated with minimally invasive percutaneous pedicle screw fixation. The clinical efficacy of two groups of patients was observed ......