摘要
目的探讨前外及后路两种固定方法治疗胸腰椎结核的临床疗效,以选择治疗方法。方法将治疗的90例胸腰椎结核患者分成2组,均予病灶清除术。前路组45例,予以前路内固定;后路组45例,予以后路内固定,评价2组治疗后临床效果。结果前、后入路治疗胸腰椎结核在总临床效果、ASIA分级、手术时间、术中出血量、融合时间等方面比较,差异性无统计学意义(P>0.05);而在后凸角度、矫正角度、丢失角度和总并发症发生率上比较差异性有统计学意义(P<0.05)。结论治疗胸腰椎结核要结合病变部位和范围采用不同的手术方法。
Objective To explore the two fixation thoracolumbar tuberculosis treatment efficacious. Methods 90 cases were selected from May 2012 to May 2014 in thoracic and lumbar tuberculosis hospital. All cases were divided into two groups and went focus clearance ,45 cases in first group with anterior fixation,45 cases in posterior fixation group, and clinical effects after treatment was ob- served. Results After treatment of thoracolumbar tuberculosis approach in terms of the total clinical effect, ASIA grade, operative time, blood loss, the integration time was no difference （ P 〉 0.05 ） ; and in the kyphosis angle, angle correction, the loss angle and overall com- plication rates were significant differences （ P 〉 0.05 ）. Conclusion The treatment and determination of the scope of thoracolumbar tu- berculosis lesions should be in different surgical methods.
出处
《宁夏医学杂志》
CAS
2015年第11期999-1001,共3页
Ningxia Medical Journal
关键词
胸腰椎结核
前后入路
临床效果
Thoracolumbar tuberculosis
Anterior posterior fixation
Clinical effect
