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时间:2018-10-26
《两种手术方法治疗胸腰椎结核的效果观察》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、两种手术方法治疗胸腰椎结核的效果观(四川省泸州市人民医院骨科,四川泸州646000)[摘要]目的:探析两种手术方法治疗胸腰椎结核患者的效果,为临床合理选择胸腰椎结核的手术方法提供参考。方法:随机抽取2009年1月-2015年1月我院治疗的60例胸腰椎结核,随机分为两组,对照组实施前路病灶清除椎体间植骨融合内固定术,观察组实施后路病灶清除椎体间植骨融合内固定术,统计与比较两组患者的治疗效果。结果:两组患者的手术时间、术中出血量、术前术后及末次随访时血沉、住院时间均无明显差异(P>;0.05);所有患者随访12-18个月,平均16.8个月,两组患者的病灶情况、植骨融合
2、情况无明显差异(P>0.05);但末次随访时观察组患者的内固定失败率及术前-末次随访时后凸畸形矫正率与对照组的差异性显著(P<0.05)。两组患者术前-末次随访时脊髓功能ASIA分级分别明显改善率(P<0.05)。结论:两种手术方法治疗胸腰椎结核均可获得满意的疗效,但后路病灶清除椎体间楨骨融合内固定术可明显减少内固定失败率,提高后凸畸形矫正率,是一种较理想的治疗胸腰椎结核的手术方式。关键词:胸腰椎结核;后路;病灶清除;植骨融合;内固定术[abstract]objective:toanalyzetwokindsofsurgicalmethodsforthetrea
3、tmentofthoracolumbartuberculosispatients,forclinicalprovidereferenceforrationalselectionofsurgicalmethodofthoracolumbartuberculosis.Methods:randomlyselectedinJanuary2009-January2015inourtreatmentof60casesofthoracolumbartuberculosis,randomlydividedintotwogroups,controlgroupimplementation
4、ofanteriorlesionclearancebetweenvertebralbodybonegraftfusionandinternalfixation,theobservationgroupimplementationofposteriorlesionclearancebetweenvertebralbodybonegraftfusionandinternalfixation,statisticsandcomparethetherapeuticeffectoftwogroupsofpatients.Results:twogroupsofpatientswith
5、operationtime,intraoperativebloodloss,postoperativeandpreoperativebloodsedimentationatthetimeofthelastfollow-up,lengthofhospitalstaywerenoobviousdifference(P>0.05);Allpatientswerefollowedupfor12to18months,anaverageof16.8months,twogroupsofpatientswithlesions,bonegraftfusionofnosignifi
6、cantdifference(P>0.05);Butatthetimeofthelastfollow-upinternalfixationfailurerateintheobservationgroupofpatientsandpreoperative-atthetimeofthelastfollow-upafterthedifferencesofprotrusiondeformitycorrectionrateandthecontrolgroupsignificantly(P<0.05).Twogroupsofpatientswithpreoperati
7、ve•ASIAhiberarchyfunctionofspinalcordwasobviouslyatthetimeofthelastfollow-upperiod(P<0.05).Conclusion:twomethodsofsurgicaltreatmentofthoracolumbartuberculosiscanobtainsatisfactorycurativeeffect,buttheposteriorlesionclearancebetweenvertebralbodybonegraftfusionandinternalfixat
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