| Objective:By comparing the difference of operation time,intraoperative blood loss,hospitalization cost and clinical curative effect in the treatment of thoracolumbar fractures by two different sets of stapling and stapled fixation,the patients with thoracolumbar fractures were the most suitable Number of staples.Methods:The clinical data of single-segment thoracolumbar fractures treated from September 2012 to September 2015 in Hefei First People Group Hospital were collected by retrospective analysis.The patients were randomly divided into two groups: group A group(group A)and bilateral group(group B).All the research methods and purposes have been patient consent,the two groups of patients were by the same group of patients underwent open reduction and internal fixation.The operative time,intraoperative blood loss and hospitalization cost were compared between the two groups.The difference between the height of the vertebral body,the angle of sagittal Cobb and the visual analogue scale(VAS)was compared.The data were analyzed by statistical software SPSS17.0 software.The comparison of the data at different time points was carried out by using the variance test of the repeated measurement design data.The data of the two groups were compared by t test,the comparison of the counting data and the rate Using chi-square test.Results: A total of 42 cases were included in the study.There were 23 male patients and 19 female patients aged 20 to 60 years.The average age was 42 years.Among them,there were 15 people who were injured in the accident.A total of 15 patients,a total of 9 people injured in heavy injuries,a total of 13 patients were injured,the cases were obtained follow-up.The average operative time was(120.77 ± 11.21)min in 22 patients in group A;the mean intraoperative blood loss was(337.86 ± 8.19)ml;the average hospitalization cost was(28295.68 ± 1373.74).In the 20 patients,the mean operative time was(142.25 ± 18.01)min,the average intraoperative blood loss was(382.20 ± 7.45)ml,and the average hospitalization cost was(34789.35 ± 1257.56).After statistical analysis,the difference was statistically significant.The mean pain score(VAS)in group B was(7.44 ± 0.92),3 days after surgery(2.32 ± 0.42),and 1year after operation(1.14 ± 0.38)± 1.10),3 days after operation(2.58 ± 0.41),and 1year after operation(1.25 ± 0.26).According to the statistical analysis,there was no significant difference between the two groups before and 3 days and 1 year after operation(P> 0.05).(54.50 ± 6.49)%,3 days after operation(95.38 ± 0.93)%,1 year after operation(92.45 ± 1.32)%,3 months after taking nail(24.57 ± 2.62)°,3 days after operation(2.26 ± 0.57)°,1 year after operation(4.14 ± 0.70)°,and 3 months after nail(5.25 ± 0.65)°.(56.50 ± 5.92)%,3 days after operation(95.24 ± 0.79)%,1year after operation(92.35 ± 1.06)%,3 months after taking nail 89.85 ± 0.59)%.(24.45± 2.85)°,3 days after operation(2.43 ± 0.47)°,1 year after surgery(4.12 ± 0.71)°,3months after taking nail(5.45 ± 0.59)° The There was no significant difference between the two groups(p> 0.05).There was no significant difference between the two groups(P> 0.05).There was no significant difference between the two groups(P> 0.05)(P <0.05),and there were significant differences between the two groups(P <0.05),and there were significant differences between the two groups(P <0.05).Conclusion: There was no difference in the clinical efficacy of the unilateral fixation of the injured vertebrae.On the basis of ensuring the clinical curative effect,the unilateral pendulum can reduce the cost of hospitalization,reduce the surgical trauma,reduce the amount of intraoperative blood loss,reduce the cost of hospitalization,and have good social benefits. |
PDF Full Text Request