PCS椎弓根螺钉治疗脊柱创伤相关疾病临床疗效观察.doc

PCS椎弓根螺钉治疗脊柱创伤相关疾病的临床疗效观察 　　【摘要】 目的：观察分析PCS椎弓根螺钉治疗脊柱创伤相关疾病的临床疗效。方法：选取2015年1-12月在本院进行治疗的82例脊柱创伤相关疾病患者作为研究对象，按照随机数字表法将其分为研究组41例和对照组41例，对照组患者采取普通椎弓根螺钉治疗，研究组患者采取PCS椎弓根螺钉治疗，比较两组患者的临床疗效。结果：研究组患者的手术时间与对照组相比，差异无统计学意义（P0.05），而术中出血量、住院天数均明显优于对照组，差异均有统计学意义（P0.05）。结论：对脊柱创伤相关疾病采取PCS椎弓根螺钉治疗效果显著，术后恢复快，安全可靠，值得在临床上推广及应用 【关键词】 PCS椎弓根螺钉； 脊柱； 创伤相关疾病； 临床疗效 【Abstract】 Objective：To explore the clinical effect of PCS pedicle screw in the treatment of spinal trauma related diseases.Method：A total of 82 patients with spinal trauma related diseases and who accepted treatments in our hospital from January 2015 to December 2015 were taken as the research objects，and they were randomly divided into the study group of 41 cases and the control group of 41 cases by the random number method.Patients in the control group were given the conventional pedicle screw fixation，patients in the study group were treated with PCS pedicle screw，the clinical effects of two groups were compared.Result：There was no significant difference in the operation time between two groups（P0.05），the amount of bleeding during operation and hospitalization days were significantly better than those of the control group，the differences were statistically significant（P0.05）.Conclusion：The treatment effects of PCS pedicle screw in the treatment of spinal trauma related diseases are significant，which the postoperative recovery is fast，and it is safety and reliable，thus it is worth to be popularized and applied in clinical. 【Key words】 PCS pedicle screw； Spine； Trauma related diseases； Clinical effect First-author’s address：The First Peoples Hospital of Xiaogan City，Xiaogan 432100，China doi：10.3969/j.issn.1674-4985.2016.29.010 脊柱创伤相关疾病是临床较为常见的疾病，主要指脊柱骨折、脊柱椎管狭窄、脊柱滑脱等多种脊柱创伤[1]。随着道路交通事故的不断增多，导致脊柱创伤相关疾病的发病率呈现逐年上升的趋势，脊柱创伤需要及时进行治疗，若治疗不当，可能导致患者截肢、瘫痪甚至死亡[2]。传统的脊柱手术创伤大，操作难，术中出血量大，术后恢复慢，临床效果无法令患者满意，随着微创技术不断的发展，脊柱椎弓根螺钉治疗技术在脊柱创伤相关疾病中得到了广泛应用，逐渐取代了传统脊柱手术，但采取普通椎弓根螺钉治疗常出现固定失败，对术后恢复带来了严重影响。PCS椎弓根螺钉治疗具有固定牢靠、生物学强度大的特点，成为外科手术的常用治疗方法[3-