摘要
目的 探讨病灶清除、植骨融合内固定术治疗胸、腰椎结核病人围手术期的护理及临床效果.方法 对96例胸、腰椎结核患者均采用前路进行结核病灶清除、植骨融合、内固定器械固定术.术前重点施行心理护理、抗结核、加强营养支持;术后做好病情观察、预防各种并发症、指导患者进行功能锻炼等,并对术后患者进行定期随访.结果 随访8～30个月,30例脊神经压迫症状者术后有明显改善或消失;74例脊柱后凸恢复至5°～28°,平均16.2°,较术前有明显改善,术后植骨块骨性愈合率达98.96%.96例患者术后均无内固定松动、断钉、断棒现象.结论 病灶清除、植骨融合、内固定器械固定术是治疗胸、腰椎结核较理想的方法,围手术期护理对保证手术成功及术后功能的恢复起着重要的作用.
Objective To investigate the nursing method and clinical results of thoracic and lumbar vertebrae tuberculosis underwent infection debridement,fusion and internal fixation.Methods 96 patients with thoracic and lumbar vertebrae tuberculosis received infection debridement,fusion and internal fixation through anterior approach.Preoperative mental nursing,antituberculosis treatment and nutrition support were carried out.After operation patient's condition were observed,complication preventing measures were performed,functional exercise guidance were given to the patients;and all the patients were followed up regularly.Results All the patients were followed up for 8～30 months,The spinal nerve compression symptoms of 30 cases were ameliorated or disappeared,kyphosis in 74 patients recovered to 5°～28°,comparing with the condition before operation.The fusion rate reached 98.96%.None was found internal fixation loosening,screw or stick broken.Conclusions Infection debridement,fusion and internal fixation was an ideal method for thoracic and lumbar vertebrae tuberculosis treatment.Perioperative nursing played an important role in the succeeding of operation and functional recovery.
出处
《中华现代护理杂志》
2006年第15期1424-1426,共3页
Chinese Journal of Modern Nursing
基金
广东医学院科研基金面上资助项目
关键词
脊柱结核
围手术期
护理
植骨融合
内固定术
Spinal tuberculosis
Perioperation
Nursing
Spinal tuberculosis fusion
Internal fixation
