胸腰椎骨折患者接受后路椎弓根螺钉固定术后引流有益。
Thoracolumbar fractures patients undergoing posterior pedicle screw fixation can benefit from drainage.
机构信息
Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 109 Xueyuanxi Road , Wenzhou, Zhejiang, 325000, China.
出版信息
BMC Musculoskelet Disord. 2024 May 1;25(1):343. doi: 10.1186/s12891-024-07447-5.
PURPOSE
To explore whether it is necessary to put drain tubes after posterior pedicle screw fixation of thoracolumbar fractures.
METHODS
From April 2020 to January 2023, a total of 291 patients with recent thoracolumbar fractures (AO type-A or type-B) who received the pedicle screw fixation operation were enrolled retrospectively. In 77 patients, drain tubes were used in the pedicle screw fixation surgery, while no drain tubes were placed in the other group. After gleaning demographic information and results of lab examination and imageology examination, all data were put into a database. Independent-sample t-tests, Pearson Chi-Square tests, Linear regression analysis, and correlation analysis were then performed.
RESULTS
Compared to the control group, the drainage group had significantly lower postoperative CRP levels (P = 0.047), less use of antipyretics (P = 0.035), higher ADL scores (P = 0.001), and lower NRS scores (P < 0.001) on the 6th day after surgery. Other investigation items, such as demographic information, operation time, intraoperative blood loss, body temperature, and other preoperative and postoperative lab results, showed no significant differences.
CONCLUSIONS
The use of a drain tube in the pedicle screw fixation of thoracolumbar fractures is correlated with the improvement of patients' living and activity ability and the reduction of inflammation, postoperative fever and pain.
目的
探讨胸腰椎骨折后路椎弓根螺钉固定术后是否需要放置引流管。
方法
回顾性分析 2020 年 4 月至 2023 年 1 月收治的 291 例新鲜胸腰椎骨折（AO 分型 A 型或 B 型）患者，均采用椎弓根螺钉内固定术治疗。其中 77 例患者在椎弓根螺钉固定术中使用引流管，而另一组则未放置引流管。收集患者的人口统计学资料、实验室检查和影像学检查结果后，将所有数据录入数据库。采用独立样本 t 检验、Pearson Chi-Square 检验、线性回归分析和相关性分析。
结果
与对照组相比，引流组术后 C 反应蛋白（CRP）水平明显降低（P=0.047），退热药物使用率降低（P=0.035），术后第 6 天日常生活活动能力（ADL）评分升高（P=0.001），疼痛数字评分（NRS）降低（P<0.001）。其他调查项目，如人口统计学资料、手术时间、术中失血量、体温以及其他术前和术后实验室结果，差异均无统计学意义。
结论
在胸腰椎骨折后路椎弓根螺钉固定术中使用引流管与患者生活和活动能力的提高、炎症反应、术后发热和疼痛的减轻有关。
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