摘要
目的针对脊柱结核患者使用单纯后路及前后路联合手术治疗方法的临床效果进行探究。方法该研究方便选取2017年9月—2019年12月该院接诊治疗的脊柱结核患者(n=90),以随机数字表格法分为A组(单纯后路手术治疗)、B组(前后路联合手术治疗),每组45例,对比两组患者最终的治疗效果。结果手术治疗前,两组脊柱结核患者的JOA评分、Cobb角情况相比,差异无统计学意义(P>0.05);手术治疗后,A组患者的JOA评分(24.63±1.38)分明显高于B组(21.59±1.26)分(t=10.910,P<0.001);Cobb角情况相比较[(12.38±6.74)°vs (22.05±8.18)°],A组明显较小(t=6.120,P<0.001);A组脊柱结核患者在单纯后路手术治疗后的并发症发生率为6.67%,B组脊柱结核患者在前后路联合手术治疗后的并发症发生率为13.33%,两组患者相比较来说,A组低于B组(χ^2=0.494,P=0.482)。结论在对脊柱结核患者进行治疗的过程中,单纯后路手术治疗与前后路联合手术治疗均有较好的临床效果。
Objective To explore the clinical effects of the treatment of spinal tuberculosis patients with a single posterior approach and a combined anterior and posterior approach. Methods The study selected patients with spinal tuberculosis(n =90) admitted to the hospital from September 2017 to December 2019 and divided them into group A(only posterior surgical treatment) and group B(combined anterior and posterior approach) according to a random number table. Surgical treatment, 45 cases in each group, compare the final treatment effect of the two groups of patients. Results Before surgery,there was no statistically significant difference in the JOA score and Cobb angle between the two groups of patients with spinal tuberculosis(P>0.05);after surgery, the JOA score(24.63±1.38)points of group A was significantly higher than that of B Group(21.59±1.26) points(t=10.910, P<0.001);the Cobb angle is compared[(12.38±6.74)°vs(22.05±8.18)°], group A is significantly smaller(t=6.120, P<0.001);The complication rate of patients with spinal tuberculosis in group A after surgical treatment alone was 6.67%, and the complication rate of patients with spinal tuberculosis in group B after combined anterior and posterior surgical treatment was 13.33%. Comparison of the two groups, Group A was significantly lower than group B(χ^2=6.494, P=0.482).Conclusion In the process of treating spinal tuberculosis patients, both posterior surgical treatment and combined anterior and posterior surgical treatment have good clinical effects, and they are worthy of clinical application.
作者
李家江
马灵会
LI Jia-jiang;MA Ling-hui(Department of Orthopedics,Maternity and Child Health Hospital of Shizhong District,Zaozhuang,Shandong Province,277100 China;Department of Obstetrics and Gynecology,Maternal and Child Health Hospital of Shizhong District,Zaozhuang,Shandong Province,277100 China)
出处
《中外医疗》
2020年第25期62-64,共3页
China & Foreign Medical Treatment
关键词
脊柱结核
单纯后路手术治疗
前后路联合手术治疗
Spinal tuberculosis
Simple posterior surgical treatment
Combined anterior and posterior surgical treatment
