病灶清除联合脊柱内固定术治疗胸腰椎脊柱结核的效果分析  

A Retrospective Analysis of Debridement Combined with Fixation in the Treatment of Thoracic and Lumbar Tuberculosis

作　　者：刘俊 尹锐 

机构地区：[1]湖北恩施土家族苗族自治州中心医院脊柱外科,湖北恩施445000

出　　处：《中国中医骨伤科杂志》2017年第12期36-39,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨病灶清除联合内固定术治疗脊柱结核的方法与效果。方法:80例胸腰椎脊柱结核患者被分为联合组与对照组,每组各40例。联合组患者接受病灶清除与脊柱固定术治疗,对照组则给予病灶清除术治疗。比较两组的治疗效果,包括手术时间、术中出血量、复发率、矫正率、下床行走时间、疼痛缓解时间、住院时间、疼痛视觉模拟评分法(VAS)和Frankel分级。结果:联合组的下床行走时间、疼痛缓解时间和住院时间均低于对照组,差异有统计学意义(P<0.05);两组的复发率、矫正率、术中出血量、VAS疼痛评分和Frankel分级,差异无统计学意义(P>0.05)。结论:在脊柱结核治疗中应用病灶清除与脊柱固定术联合治疗具有较好的效果,治疗后患者能够早日康复,该治疗方法值得推广。Objective：To investigate the treating method and effect of debridement combined with fixation for thoracic and lumbar tuberculosis. Methods：Eighty patients with spinal tuberculosis were divided into combination group （n= 40） and control group （n=40）. The combination group received debridement combined with fixation, and control group received debridement only. The following indicators were compared between the two groups such as operation time, blood loss, recurrence rate, correction rate, walking time, pain relief time, hospital stay, visual analogue scale （VSA） and Frankel classification. Results：The walking time out of bed, pain relief time and hospital stay of combination group were signifi- cantly lower than those of the control group （P〈0.05）. There was no significant difference in the recurrence rate, correction rate, blood loss, VAS score and Frankel classification between the two groups （P〉0.05）. Conclusion：The debridement combined with spinal fixation therapy shows satisfactory results on patients with spinal tuberculosis. The method is worth to be popularized due to speedy recovery.

关 键 词：病灶清除 脊柱固定 脊柱结核治疗 

分 类 号：R681.5[医药卫生—骨科学]