摘要
目的 研究本文病例采取不同入路椎弓根内固定术治疗后产生效果差异。方法 抽取2020年2月到2022年2月的七十例胸腰椎骨折患者，将其作为本次研究对象。随机分成经皮入路组和传统入路组各35例。分析两组效果差异。结果 治疗前后两组VAS、ODI评分无明显差异（P＞0.05）。两组术中出血量、手术时间，术中透视次数、住院时间具有明显差异（P＜0.05）。得出结果，两组术后SF-36评分明显增高。两组术前术后SF-36评分无明显差异，（P＞0.05）。结论 经皮入路更有利于减轻患者疼痛，提高日常生活能力，改善生活质量，值得临床重视并采纳。
关键词： 椎弓根钉内固定术；胸腰椎骨折；经皮入路；传统入路；临床疗效
Abstract
Objective To study the difference of results after different approaches of pedicle screw internal fixation. Methods Seventy patients with thoracolumbar fracture from February 2020 to February 2022 were selected as the subjects of this study. They were randomly divided into percutaneous approach group and traditional approach group with 35 cases each. Results There was no significant difference in VAS and ODI scores between the two groups before and after treatment (P>0.05). There were significant differences between the two groups in the amount of intraoperative bleeding, operation time, number of intraoperative fluoroscopy, and hospital stay (P<0.05). The results showed that the SF-36 scores in the two groups were significantly higher after operation. and after operation (P>0.05). Conclusion Percutaneous approach is more beneficial to relieve pain, improve daily living ability and improve quality of life, which is worthy of clinical attention and adoption.
Key words： pedicle screw internal fixation; Thoracolumbar fracture; Percutaneous approach; Traditional approach; Clinical efficacy
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