目的 探讨脊柱压缩性骨折患者经皮微创钉内固定手术治疗的有效性及对手术时间、出血量与并发症发生的影响。方法? 选取广西壮族自治区来宾市兴宾区人民医院 2018 年 3 月至 2020 年 3 月收治的脊柱压缩性骨折患者 90 例作为研究对象，按照随机数字表法分为研究组（45 例）与对照组（45 例）。对照组采用常规开放性手术治疗，研究组采用经皮微创钉内固定手术治疗。比较两组患者的各项手术相关指标及并发症发生率。结果? 研究组患者在手术时间、切口长度及住院时间均短于对照组，且术中出血量也少于对照组（P ＜ 0.05）；研究组患者的并发症发生率与对照组比较差异有统计学意义（P ＜ 0.05）。结论? 应用经皮微创钉内固定手术治疗脊柱压缩性骨折，可使患者的手术及住院时间显著缩短，并能够减少并发症的发生，值得临床推广应用。
Objective To investigate the effectiveness of minimally invasive percutaneous nail fixation in the treatment of spinal compression fractures and its influence on operation time，blood loss and complications. Methods? From March 2018 to March 2020，90 patients with spinal compression fracture admitted to Xingbin District People's Hospital of Laibin City，Guangxi Zhuang Autonomous Region were selected as an object of study，according to the random number table method，they were divided into study group and control group，with 45 cases in each group. The control group was given conventional open surgery，and the study group was given percutaneous minimally invasive nail internal fixation. The operative indicators and complication rates of the two groups were observed and compared. Results The operative time，incision length and length of hospital stay in the study group were shorter than those in the control group，and the intraoperative blood loss was also less than that in the control group（P ＜0.05）. The complication rate of the study group was significantly different from the control group（P ＜0.05）.Conclusion The application of percutaneous minimally invasive nail internal fixation in the treatment of spinal compression fractures can significantly shorten the time of operation and hospitalization of patients，and can reduce the occurrence of multiple complications，which is worthy of clinical application.