Abstract：Objective To investigate the diagnosis and clinical efficacy of minimally invasive surgical treatment of acute spinal trauma.Methods 124 cases of acute spinal trauma admitted in our hospital from January 2014 to December 2015 were selected as subjects. These patients were treated with X-ray, CT and MRI before they wererandomly divided into control group and study group(62 cases in each group). Patients in control group were treated with conventional open surgery while those in study group were treated with minimally invasive surgery.Results Usinge X-ray, CT and MRI, each case of spinal cord injury was detected, and the detection rate was as high as 100%. Patients in study group were significantly better than control group in terms of efficacy, statistical data, the incision infection rate and complication rate. The difference between the two groups was of statistical significance (P＜0.05)..Conclusion The combined application of X-ray, CT and MRI is of great significance for the diagnosis of acute spinal trauma. Minimally invasive surgery can cause less damage to patients, shorten postoperative hospital stay, and reduce the incidence of complications.
高彬. 急性脊柱创伤的诊断及微创手术治疗的效果分析[J]. 解放军预防医学杂志, 2016, 34(5): 721-722.
GAO Bin. Diagnosis and Minimally Invasive Surgical Treatment of Acute Spinal Trauma. Journal of Preventive Medicine of Chinese People's Liberation Army, 2016, 34(5): 721-722.
[1] 李爱国,彭兴梅,董玉珍,等. 400例急性脊柱创4伤临床诊断与治疗分析[J].中国药物经济学,2014(5):96. [2] 慕志华.92例急性脊柱创伤诊断与治疗的临床分析[J].中国实用医药,2013,8(30):77. [3] 陈景涛.70 例急性脊柱创伤诊断治疗分析[J].健康必读(中旬刊),2013,12(3):110. [4] ZHOU J Z,YE J H,TANG G Y.Within the general spine system pedicle screw fixation IV treatment of thoracolumbar fractures[J].Chinese Journal of Trauma Fractures,2010,11(4):384. [5] 黄维.56例急性脊柱创伤诊断治疗分析[J].现代诊断与治疗,2014,25(21): 4965. [6] AGARWAL N,FEGHHI D P,GUPTA R,et al.A comparative analysis of minimally invasive and open spine surgery patient education resources[J].Neurosurg spine,2014,6(13):1. [7] 黄科锋,赵国宏,黄华.X 线平片和 CT 在脊柱骨折诊断中的联合应用价值 [J].放射学实践,2010,17(3):247. [8] 张明志,黄文峰,李哲.探讨采用 X 线拍片与CT检查对诊断脊柱骨折临床意义[J].临床医学工程,2011,17(3):247. [9] 孙西河,王滨.脊柱结构的MRI表现及早期诊断[J].临床放射学杂志,2011,19(5):302. [10] 王军.急性脊柱创伤患者的诊断与治疗措施分析[J]. 现代诊断与治疗,2013,24(1):114. [11] 胡伟华.微创脊柱创伤手术的效果及可行性评价[J]. 当代医学,2015,21(9):65. [12] KIM K H.Safe sedation and hypnosis using dexmedetomidine for minimally invasive spine surgery in a prone position[J].Korean J Pain,2014,27(4):313.
2016, Vol. 34 
