不同治疗方案治疗脊柱结核的效果对比  

Comparison of the Effect of Different Treatment Regimen on Spinal Tuberculosis

作　　者：杜伟[1] 张军[1] 王新虎[1] 王建顺[1] 刘夏君[1] 

机构地区：[1]陕西省宝鸡市中心医院脊柱外科,陕西宝鸡721008

出　　处：《现代生物医学进展》2017年第29期5757-5760,共4页Progress in Modern Biomedicine

基　　金：陕西省科学技术研究发展计划项目(2014K11-03-06-10)

摘　　要：目的:分析不同脊柱结核手术方式在治疗效果和治疗安全性方面的差异。方法:将我院脊柱外科施以手术治疗的89例脊柱结核患者为研究对象,根据手术方法差异分成后路组45例和前路组44例,记录手术评价指标、Cobb角、手术前后美国脊髓损伤学会神经功能(ASIA评分)变化和术后并发症,并对记录结果行统计分析。结果:后路组手术时间(185.71±21.89)min、出血量(503.12±57.81)m L、出院时间(21.43±3.52)d、手术相关不良反应率(6.82%)、Cobb角度(18.34±8.41)°显著低于前路组,而后路组神经损伤治愈率(54.55%)高于前路组,P<0.05,存在统计学差异。结论:手术入路能够影响脊柱结核手术的治疗效果,与前入路手术相比,后入路手术在手术简便性、安全性、有效性方面优势明显。Objective： To analyze the differences in the therapeutic effect and treatment safety of different spinal tuberculosis surgery methods. Methods： 89 patients with spinal tuberculosis who underwent surgical treatment were chosen as the research objects. According to the differences of surgical method, they were divided into the posterior group of 45 cases and the anterior group of 44 cases. The surgical evaluation index, cobb angle, changes of neurological function （ASIA score） and postoperative complications in the Ameri- can Society of Spinal Cord Injury were recorded, and the recorded results were taken for statistical analysis. Results： The operation time （185.71± 21.89） min, the bleeding volume （503.12± 57.81） ml, the discharge time （21.43± 3.52） d, the operative adverse reaction rate （6.82%）, the Cobb angle （18.34±8.41）° in the posterior group were significantly lower than the anterior group. While the nerve injury cure rate in the posterior group （54.55%） was higher than the anterior group, and there were statistical differences （P〈0.05）. Conclusion： The surgical approach can affect the curative effect of spinal tuberculosis surgery. Compared with the anterior approach, the posterior approach has obvious advantages in terms of operation simplicity, safety and effectiveness.

关 键 词：脊柱结核 外科手术 前入路 后入路 

分 类 号：R529.2[医药卫生—内科学]