影响外科手术治疗腰椎结核疗效的相关因素分析  

Correlation factors analysis for surgical treatment in lumbar spinal tuberculosis

作　　者：罗亮[1] 李军[1] 张曦[1] 

机构地区：[1]凉山彝族自治州第一人民医院骨科,四川西昌615000

出　　处：《中国医师进修杂志》2014年第17期47-49,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨外科手术治疗腰椎结核疗效的影响因素。方法回顾性分析46例腰椎结核患者术前、术中及术后随访1年的相关临床因素及治疗效果并通过Logistic回归对影响手术疗效的相关临床因素进行分析。结果46例接受外科手术治疗的腰椎结核患者中有9例手术失败，多因素分析结果显示：病变椎体数目（OR=6．44，95％CI：2．47～19．92）及脊柱内固定采用（OR=10．76，95％CI：3．50～18．74）对手术疗效有显著影响（P〈0．05）。结论外科手术治疗腰椎结核疗效受到病变椎体数目及是否采用脊柱内固定的影响。Objective To explore the correlation factors for surgical treatment in lumbar spinal tuberculosis. Methods A total of 46 patients with lumbar spinal tuberculosis who underwent surgical treatment were analyzed. The possible correlation between the clinicopathologic features and clinical outcome were analyzed by Logistic regression analysis. Results Nine patients failed in surgical treatment. Multiple analysis showed that the number of infected vertebrae （OR = 6.44,95% CI： 2.47 - 19.92） and internal fixation （OR = 10.76,95% CI： 3.50 -18.74） had significant correlation with the clinical outcome. Conclusions Surgical treatment for lumbar spinal tuberculosis has a favorable outcome in patients. The number of infected vertebrae and internal fixation are significant risk factors for poor outcome.

关 键 词：结核 脊柱 外科手术 治疗结果 回顾性研究 

分 类 号：R687.3[医药卫生—骨科学]