摘要
目的研究脊柱结核患者应用单纯后路与前路联合手术治疗的疗效与安全性。方法选取本院2016年2月至2019年2月收纳的脊柱结核患者60例,采用随机数表法将其分为观察组与对照组各30例,观察组采用前后路联合手术治疗,对照组采取单纯后路手术治疗,比较两组患者各项指标。结果观察组手术时间、术中出血量与住院时间比对照组都要高,差异有统计学意义(P<0.05);观察组并发症人数为5,对照组为3人,经比较无统计学意义(P>0.05);两组患者植骨融合时间相差不多,经比较无统计学意义(P>0.05),观察组JOA评分要高于对照组,差异有统计学意义(P<0.05)。结论观察组运用前后路联合手术治疗比单纯只采用后路手术治疗临床疗效要更好,也具有一定安全性,有较高临床价值,但单纯后路手术治疗其住院时间、术中出血量和手术时间都要比前后路联合治疗所需时间短,两组各有优势。
Objective To study the efficacy and safety of simple posterior approach and combined anterior-posterior approach surgery in the treatment of spinal tuberculosis.Methods Sixty patients with spinal tuberculosis admitted to the hospital from February 2016 to February 2019 were selected.They were divided into observation group and control group by random number table method,30 patients in each group.The observation group were treated with combined anterior-posterior approach surgery,while the control group was treated with simple posterior approach surgery.The indicators of the two groups were compared.Results The operation time,intraoperative blood loss and hospital stays of the observation group were longer/more than those of the control group(P<0.05).The numbers of patients with complications in the observation group and the control group were 5 and 3 respectively(P>0.05).The time of bone graft fusion in the two groups was similar(P>0.05).The JOA score of the observation group was higher than that of the control group(P<0.05).Conclusion The clinical effect of combined anterior-posterior approach surgery is better than simple posterior approach surgery,with certain safety and high clinical value.However,the hospital stays,intraoperative blood loss and operation time of patients treated by simple posterior approach are shorter/less.Both methods have their own advantages.
作者
李坛
张旭辉
夏磊
杜习起
朱毅
LI Tan;ZHANG Xu-hui;XIA Lei(Department of Orthopedic,The 83rd Group Army Hospital of the People's Liberation Army of China,Xinxiang 453000,Henan Province,China)
出处
《罕少疾病杂志》
2020年第5期55-56,76,共3页
Journal of Rare and Uncommon Diseases
关键词
脊柱结核
单纯后路手术
前后路联合手术
疗效与安全
Spinal Tuberculosis
Simple Posterior Approach
Combined Anterior-posterior Approach Surgery
Efficacy and Safety
