一期后外侧入路病灶清除植骨融合治疗老年胸椎结核  

One-stage Posterior Debridement,Bone Graft and Instrumentation for Elderly People with Tuberculosis of Thoracic Vertebra

作　　者：刘祥胜[1,2] 王达义[2] 温国宏[2] 常巍[2] 李兵奎[2] 李明[1] 

机构地区：[1]第二军医大学附属长海医院骨科,上海200433 [2]湖北医药学院附属太和医院脊柱外科,湖北十堰442000

出　　处：《现代生物医学进展》2012年第22期4338-4341,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨一期后外侧入路病灶清除植骨融合治疗老年胸椎结核的效果,为临床治疗提供依据。方法:选择2009年1月～2010年12月我院确诊的老年胸椎结核患者38例,根据手术方法不同,一期后外侧入路病灶清除植骨融合治疗老年胸椎结核为观察组;一期前路病灶清除植骨融合治疗老年胸椎结核为对照组,比较两组的治疗效果。结果:治愈率为94.74%。观察组手术时间(t=5.003,P<0.05)、术中出血量(t=3.908,P<0.05)及住院时间(t=4.331,P<0.05)与对照组比较,差异均有统计学意义。观察组术前Cobb's角与对照组比较,t=1.235,P>0.05,两组合差异无统计学意义。观察组术后Cobb's角与对照组比较,t=1.993,P<0.05,两组术后Cobb's角差异无统计学意义。末次随访观察组Cobb's角与对照组比较,t=3.001,P<0.05,两组合差异有统计学意义。结论:采用一期后外侧入路病灶清除植骨融合治疗老年胸椎结核创伤小,减少出血量,减低住院时间,且效果良好,能提高术后患者的生活质量。Objective：To analyze the clinical effects of one-stage posterior debridement,bone graft and instrumentation for elderly people with tuberculosis of thoracic vertebra,in order to provide basis for clinical treatment.Methods：A retrospective analysis of 102 elderly people in our hospital from Jan.2009 to Dec.2010.All patients were divided into 2 groups.One-stage posterior debridement,bone graft and instrumentation were carried in the study group and anterior focus clearance,bone graft plus posterior instrumentation were carried in the control group.Compared the clinical effects of the 2 groups.Results：The cure rate of elderly people with tuberculosis of thoracic vertebra was 94.74%.The time of operation（t=5.003,P0.05）,the mean bleeding（t=3.908,P0.05）and the median length of hospital stay（t=4.331,P0.05） were statistical different significantly.There was no statistical difference significantly for Cobb＇s in two groups before operation（t=1.235,P0.05）.There was statistical difference significantly for Cobb＇s in two groups after operation（t=1.993,P0.05）.There were statistical difference significantly for Cobb＇s in two groups after follow-up（t=3.001,P0.05）.Conclusion：The clinical effects of one-stage posterior debridement,bone graft and instrumentation for elderly people with tuberculosis of thoracic vertebra is perfect.It is simple,reliable,causes little trauma and audition increased.It can raise patient life quality.

关 键 词：一期后外侧入路 植骨 老年 胸椎结核 

分 类 号：R68[医药卫生—骨科学]