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脊柱结核内植物置入后基于C-反应蛋白及红细胞沉降率多样性与植骨融合时间的相关分析

蓝常贡 唐毓金 陆敏安 韦玮 谢克恭 潘生才 卢贤哲

中国组织工程研究2012,Vol.16Issue(9):1601-1604,4.
中国组织工程研究2012,Vol.16Issue(9):1601-1604,4.DOI:10.3969/j.issn.1673-8225.2012.09.019

脊柱结核内植物置入后基于C-反应蛋白及红细胞沉降率多样性与植骨融合时间的相关分析

C-reactive protein and erythrocyte sedimentation rate associate with bone graft union in patients with spinal tuberculosis following internal fixation

蓝常贡 1唐毓金 1陆敏安 1韦玮 1谢克恭 1潘生才 1卢贤哲1

作者信息

  • 1. 右江民族医学院附属医院脊柱骨病外科,广西壮族自治区百色市,533000
  • 折叠

摘要

Abstract

BACKGROUND: Tuberculosis clearance, bone graft, internal fixation with or without plate for patients with spinal tuberculosis always lead to C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) changes, which are associated with bone graft union time to certain degree.OBJECTIVE: To analyze the correlation between CRP, ESR and bone graft union time in patients with spinal tuberculosis.METHODS: A total of 60 patients with spinal tuberculosis underwent tuberculose focus clearance, autologous iliac bone grafting, and internal fixation without or with plate, including 38 undergoing fixation and 22 not undergoing fixation. They were divided into mild elevation, moderate elevation, high elevation, and extremely high elevation groups according to CRP and ESR. Correlation between CRP, ESR and bone graft union time was analyzed.RESULTS AND CONCLUSION: (1) CRP: there were 18 cases of mild elevation, 21 of moderate elevation, 13 of high elevation and 8 of extremely high elevation. There were significant differences in bone union time among groups (P=0.003). Spearman correlation analysis showed a correlation coefficient r=0.420, P=0.001, indicating positive correlation between CPR and bone union time. (2) ESR: there were 16 cases of mild elevation, 20 of moderate elevation, 13 of high elevation and 11 of extremely high elevation. There were significant differences in bone union time among groups (P=0.003). Spearman correlation analysis showed a correlation coefficient r=0.414, P=0.001, indicating positive correlation between ESR and bone union time. (3) Bone union was rapider in fixation group compared with non-fixation group, indicating that immediate, strong fixation can benefit bone union.

关键词

内固定/脊柱结核/C-反应蛋白/红细胞沉降率/植骨

分类

医药卫生

引用本文复制引用

蓝常贡,唐毓金,陆敏安,韦玮,谢克恭,潘生才,卢贤哲..脊柱结核内植物置入后基于C-反应蛋白及红细胞沉降率多样性与植骨融合时间的相关分析[J].中国组织工程研究,2012,16(9):1601-1604,4.

基金项目

右江民族医学院科研项目(右科一般0802008),百色市科学研究与技术开发项目([2008]08). (右科一般0802008)

中国组织工程研究

OACSCDCSTPCD

2095-4344

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