[1]姚晓聪,崔永锋,朱宝华,等.Wiltse肌间隙入路与常规入路治疗胸腰椎骨折的临床比较[J].中医正骨,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肌间隙入路与常规入路治疗胸腰椎骨折的临床比较()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期数:
2013年11期
页码:
16-18
栏目:
临床研究
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:
姚晓聪; 崔永锋; 朱宝华; 管功奎
浙江省杭州市萧山区第一人民医院,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
关键词:
脊柱骨折 胸椎 腰椎 骨折固定术; 内 Wiltse肌间隙入路 治疗; 临床研究性
Keywords:
Spinal fractures;  Thoracic vertebrae;  Lumbar vertebrae;  Fracture fixation; internal;  Wiltse's muscle gap approach;  Therapies; investigational
摘要:
目的:探讨经Wiltse肌间隙入路治疗胸腰椎骨折的可行性。方法:回顾性分析48例胸腰椎骨折患者的病历资料,经常规手术入路行后路椎弓根螺钉内固定术者25例为对照组(A组); 经Wiltse肌间隙入路行椎弓根螺钉内固定者23例为观察组(B组)。比较2组患者的手术时间、切口长度、术中出血量、引流量、术后疼痛视觉摸拟评分、Cobb's角及术后日本骨科协会评分。结果:A组患者的手术时间、出血量、引流量术后VAS评分均大于B组[(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组患者的切口长度、术后JOA评分及手术前后Cobb's角比较,差异均无统计学意义[(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]。结论:与常规手术入路相比,经Wiltse肌间隙入路内固定治疗胸腰椎骨折具有手术时间短、出血量少及术后疼痛程度低的优点,值得推广。
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.

参考文献/References:

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备注/Memo

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