中外医疗China&ForeignMedicalTreatment2024NO.7中外医疗China&ForeignMedicalTreatment临床医学临床医学经皮微创椎弓根钉内固定与传统开放手术在脊椎骨折患者治疗中的对比谢国庆，刘仲，徐跃胜泗洪中信医院骨科，江苏宿迁223900［摘要］目的分析对比经皮微创椎弓根钉内固定与传统开放手术在脊椎骨折患者治疗中的治疗效果。方法方便选择2021年1月—2023年12月泗洪中信医院收治的84例脊椎骨折患者为研究对象，按随机数表法分为研究组（经皮微创椎弓根钉内固定，42例）和对照组（传统开放手术，42例）。对比两组临床指标、影像学检查结果、临床评分以及并发症状况。结果研究组的临床指标、Cobb角、疼痛评分、并发症总发生率明显低于对照组，伤椎前缘高度压缩比明显高于对照组，差异有统计学意义（P均<0.05）；研究组预后评分为（11.41±1.44）分，明显高于对照组的（10.23±1.46）分，差异有统计学意义（t=3.729，P<0.05）。结论经皮微创椎弓根钉内固定可提高脊椎骨折患者的手术效率，促进骨折早日康复，手术安全性高。［关键词］经皮微创；椎弓根钉；内固定术；脊椎骨折；并发症［中图分类号］R683［文献标识码］A［文章编号］1674-0742（2024）03(a)-0076-04ComparisonofPercutaneousMinimallyInvasivePedicleNailInternalFixationwithTraditionalOpenSurgeryintheTreatmentofPatientswithVertebralFracturesXIEGuoqing,LIUZhong,XUYueshengDepartmentofOrthopedics,SihongZhongxinHospital,Suqian,JiangsuProvince,223900China[Abstract]ObjectiveToanalyzeandcomparetheefficacyofpercutaneousminimallyinvasivepediclenailinternalfixationandtraditionalopensurgeryinthetreatmentofvertebralfractures.MethodsAtotalof84patientswithverte⁃bralfractureadmittedtoSihongZhongxinHospitalfromJanuary2021toDecember2023wereselectedconvenientlyasthestudyobjectsandwererandomlydividedintothestudygroup(percutaneousminimallyinvasivepediclenailin⁃ternalfixation,42cases)andthecontrolgroup(traditionalopensurgery,42cases)byrandomnumbertablemethod.Clinicalindicators,imagingresults,clinicalscoresandcomplicationswerecomparedbetweenthetwogroups.ResultsTheclinicalindexes,Cobbangle,painscoreandtotalcomplicationrateweresignificantlylowerthanthoseofthecon⁃trolgroup.Theanteriorcompressionratioofinjuredvertebrawas...
