自体骨植骨联合抗结核药物局部缓释治疗脊柱结核的效果  

Effect of Autologous Bone Graft Combined With Anti-tuberculosis Drug on Sustained Release of Spinal Tuberculosis

作　　者：李兆鹏 LI Zhaopeng(Department of Orthopedics,Infectious Disease Hospital of Heilongjiang Province,Harbin Heilongjiang 150500,China)

机构地区：[1]黑龙江省传染病防治院骨一科,黑龙江哈尔滨150500

出　　处：《中国卫生标准管理》2018年第23期53-55,共3页China Health Standard Management

摘　　要：目的分析自体骨植骨联合抗结核药物局部缓释治疗脊柱结核的效果。方法将2015年1月—2017年1月到我院就诊的患者78例分为两组,各39例,对照组采用自体骨植骨;观察组给予自体骨植骨联合抗结核药物局部缓释治疗。结果观察组治愈率97.44%,植骨融合率92.31%,对照组治愈率94.87%,植骨融合率84.62%,两组比较差异无统计学意义(P> 0.05);观察组治愈后复发率低于对照组,ASIA分级E级率89.74%,高于对照组的66.67%,差异有统计学意义(P <0.05)。结论自体骨植骨联合抗结核药物局部缓释治疗脊柱结核效果显著。Objective To analyze the effect of autologous bone graft combined with anti-tuberculosis drug on the treatment of spinal tuberculosis.Methods A total of 78 patients who were admitted to our hospital from January 2015 to January 2017 were divided into two groups,39 in each group,and the autologous bone grafting was used in the control group.The autograft bone graft combined with anti-tuberculosis drugs was used in the observation group.Results In the observation group,the cure rate was 97.44%,the fusion rate of bone graft was 92.31%;In the control group,the cure rate was 94.87%,and the fusion rate of bone graft was 84.62%,there was no significant difference between the two groups(P>0.05).The recurrence rate of the observation group was lower than that of the control group,and the rate of ASIA grade E grade was 89.74%,which was higher than that of the control group(66.67%),and the difference was statistically significant(P<0.05).Conclusion Autologous bone graft combined with anti-tuberculosis drugs for sustained release of spinal tuberculosis is effective.

关 键 词：自体骨植骨 脊柱结核 脊髓神经 抗结核药物 局部缓释 植骨融合 

分 类 号：R687[医药卫生—骨科学]