经皮椎弓根钉与传统后路钉棒内固定疗效分析
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摘要
经皮脊柱椎弓根钉内固定术即我们日常所说的微创手术,目前,该种手术治疗形式已经被广泛的应用与常见的腰椎滑脱症、腰椎失稳症及腰椎骨折等一些脊柱疾病的治疗中。它是国际上一种较为先进的椎体骨折治疗方式,且该种治疗方式与传统的开放性手术治疗的形式相比,具有较大的优势,首先,它具有一般微创手术的特点,其切口较小,对于患者造成的伤害较小,进而更加有利于患者的术后康复。此外,患者在术中的出血量小,在手术进行过程中,也避免了通过将肌肉、韧带以及其他软组织切开进行手术,这也极大的降低了由于肌肉组织剥离较多而产生的脊柱不稳的情况。加之手术本身对患者所造成的创伤较小,也更加有利于患者的康复,对于出现腰椎滑脱的患者,能够较快的展开康复训练,对于改善预后效果也有积极意义。
percutaneous vertebral pedicle screw fixation is minimally invasive surgery spoken in our daily life. At present, the surgical treatment has been widely applied for treatment of some spinal diseases, including common lumbar spondylolisthesis, lumbar spondylolisthesis and lumbar fracture. It is an advanced vertebral fracture treatment internationally, and has great advantages compared with traditional open surgery therapy. First, it has general characteristics of minimally invasive surgery, with small incision, little harm for patients, which is conducive to postoperative rehabilitation of patients. In addition, bleeding amount of patients was little, during course of operation, muscles, ligaments and other soft tissue incision surgery was avoided, which greatly reduced spinal instability casused by more muscle tissue dissection. Surgery itself causing minor trauma to patients, is conducive to patient's rehabilitation. And lumbar spondylolisthesis patients can carry on rehabilitation training soon, with positive significance for prognosis improvement.
percutaneous vertebral pedicle screw fixation is minimally invasive surgery spoken in our daily life. At present, the surgical treatment has been widely applied for treatment of some spinal diseases, including common lumbar spondylolisthesis, lumbar spondylolisthesis and lumbar fracture. It is an advanced vertebral fracture treatment internationally, and has great advantages compared with traditional open surgery therapy. First, it has general characteristics of minimally invasive surgery, with small incision, little harm for patients, which is conducive to postoperative rehabilitation of patients. In addition, bleeding amount of patients was little, during course of operation, muscles, ligaments and other soft tissue incision surgery was avoided, which greatly reduced spinal instability casused by more muscle tissue dissection. Surgery itself causing minor trauma to patients, is conducive to patient's rehabilitation. And lumbar spondylolisthesis patients can carry on rehabilitation training soon, with positive significance for prognosis improvement.
引文
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[2]王惠梅.微创经皮椎弓根钉棒系统内固定治疗胸腰椎骨折的手术配合[J].医学理论与实践,2013,12(24):3330-3331.
[3]李新武,赵勇.经皮椎弓根钉在胸腰椎骨折内固定术中应用和研究进展[J].右江医学,2016,44(6):722-725.
[4]王文军,涂书玎.后路经皮内固定结合前路微创技术治疗高龄腰椎脊柱结核[C].第四届中国国际腰椎外科学术会议暨第三届首都骨科高峰论坛论文集.2012:158-159.
[5]王连波.经皮椎弓根固定治疗胸腰椎骨折的临床研究[D].河北医科大学,2015.
[6]何杰勇,杨新科.经皮椎弓螺钉内固定与常规椎弓根螺钉内固定比较[J].医药前沿,2016,6(27):135-136.
[7]梅伟.微创经皮椎弓根螺钉内固定治疗胸腰椎骨折的临床研究[D].郑州大学,2016.
[8]徐雄,钱腾飞,邱学红,等.经皮椎弓根钉与传统后路钉棒内固定疗效分析[J].中国社区医师,2016,32(26):56-57.
[9]江敏琼,黄芹燕,何敏,等.后路腰2椎体爆裂骨折闭合复位加经皮椎弓根钉棒系统内固定术的手术护理[J].吉林医学,2014,16(30):6779-6780.
[10]何伟.后路经皮椎弓根钉系统固定结合前路病灶清除自体髂骨植骨在老年胸腰段结核中的临床疗效分析[J].医学信息,2015,36(39):288-288.