腰椎后路病灶清除联合椎弓根钉棒内固定治疗继发性腰椎间盘炎  

Posterior Lumbar Debridement combined Pedicle Screw Internal Fixation for Patients with Secondary Lumbar Discitis

作　　者：何宁[1] 熊敏[1] 曾云[1] 余化龙[1] 

机构地区：[1]湖北医药学院附属东风医院骨科.脊柱,湖北十堰442008

出　　处：《湖北医药学院学报》2012年第5期365-367,共3页Journal of Hubei University of Medicine

摘　　要：目的:探讨继发性腰椎间盘炎的临床症状、诊断及治疗方法的选择。方法:回顾性分析本科27例继发性椎间盘炎患者的临床资料,对比分析15例行保守治疗和12例行腰椎后路病灶清除+椎弓根钉棒内固定术的治疗效果。结果:继发性椎间盘炎主要表现为腰部持续剧烈疼痛和不规则发热,红细胞沉降率(erythrocyte sedimentation rate,ESR)及C反应蛋白(C-reactive protein,CRP)水平升高。12例手术患者术后症状均缓解。随访12～36个月,手术治疗患者在疼痛持续时间、下床时间、住院时间、CRP及ESR恢复时间上明显少于保守治疗患者。结论:腰椎后路病灶清除+椎弓根钉棒内固定术能迅速控制病情,缓解症状,缩短病程,是经济有效的治疗方法。Objective To explore the effective method for patients with secondary lumbar discitis.Methods The clinical data of 27 patients with secondary discitis were retrospectively analyzed.The efficacy between conservative treatment for 15 cases and posterior lumbar debridement combined pedicle screw internal fixation for 12 cases were compared.Results The manifestations of secondary lumbar discitis were severe and long-lasting pain of lumbar,irregular fever,increasing ESR and CRP.The clinical symptoms of all patients were alleviated.All patients were followed up for 12 to 36 months.Compared with conservative treatment group,the duration of pain,time of lying in bed,length of stay in hospital,recovery time of CRP and ESR were significantly shortened in surgical group.Conclusion Posterior lumbar debridement combined pedicle screw internal fixation can alleviate symptoms,shorten course of disease in patients with secondary lumbar discitis,which is a economic and effective method.

关 键 词：继发性椎间盘炎 腰椎 诊断 手术治疗 

分 类 号：R687.3[医药卫生—骨科学]