后路病灶清除减压GSS固定治疗胸腰椎结核的临床研究  

The clinical research of posterior focus debridement and decompression fixation in treatment of thoracic and lumbar tuberculosis

作　　者：梁晓[1] 邓信昌[1] 蔡康[1] 罗增文[1] 

机构地区：[1]广东省茂名市人民医院骨外二科,广东茂名525000

出　　处：《中国现代医生》2013年第5期149-150,共2页China Modern Doctor

摘　　要：目的观察后路病灶清除联合后路减压GSS内固定治疗胸腰椎结核的临床疗效。方法选取2009年1月～2012年4月我院外科收治的胸腰椎结核患者74例,随机分为对照组与观察组,分别采取前路病灶清除联合GSS内固定和与后路病灶清除联合GSS内固定,比较两组手术时间、术中出血量、住院时间及手术前后Cobb角和ESR变化。结果观察组手术时间、术中出血量、植骨融合时间和住院时间均明显少于对照组,差异有统计学意义(P<0.05);观察组手术前后Cobb角和ESR变化分别为(19.52±5.01)°和(18.65±4.58)mm/h,均明显高于对照组,差异有统计学意义(P<0.05)。结论后路病灶清除联合后路减压GSS内固定治疗胸腰椎结核疗效确切,可有效矫正脊柱后凸畸形。Objective To observe the clinical curative effect of posterior focus debridement combined with posterior decompression and internal fixation in the treatment of thoracic and lumbar tuberculosis. Methods A total of 74 cases of thoracolumbar spinal tuberculosis patients who were admitted from January 2009 to April 2010 were randomly divided into the control group and the observation group, they were respectively given anterior debridement combined with GSS internal fixation and posterior debridement combined with GSS internal fixation, compared operative time, blood loss, planted bone fusion time and hospital stay and the changes of Cobb angle and ESR before and after surgery. Results The operative time, blood loss,planted bone fusion time and length of stay for the observation group were significantly less than the control group, the difference was statistically significant （P 〈 0.05）; the changes of Cobb angle and ESR of the observation group were （19.52±5.01） ° and （18.65±4.58） ram/h, were significantly higher than that in the control group, a statistically significant（P 〈 0.05）. Conclusion The clinical efficacy of posterior focus debridement and posterior decompression GSS internal fixation in treatment of thoracolumbar spinal tuberculosis was significant,can effectively correct kyphosis of spine.

关 键 词：后路病灶清除 GSS固定 胸腰椎结核 

分 类 号：R687.3[医药卫生—骨科学]