实用医学杂志2012，Vol.28Issue(16)：2718-2720,3.DOI:10.3969/j.issn.1006-5725.2012.16.028
经腹膜外病灶清除植骨一期后路内固定术治疗脊柱结核的效果
Investigation of the effects of treating spinal tuberculosis with the way of extraperitoneal debridement and posterior bone graft fixation
何生 1谢造福 1邹尚浏 1黄少辉1
作者信息
- 1. 524003 广东省湛江市第二人民医院骨外科
- 折叠
摘要
Abstract
Objective To investigate the effects of treating spinal tuberculosis with the way of extraperitoneal debridement and posterior bone graft fixation. Methods 43 patients with spinal tuberculosis, who received the treatment of extraperitoneal debridement and posterior bone graft fixation, were selected to follow up for 6 ～23 months. The status of spinal cord injury and the angle of kyphosis before and after surgery were examined carefully. The cure rate was evaluated as well. Results ASIA classification of spinal cord function was evaluated, there were 21 cases for the E level and 10 cases for the D level before surgery. Except for one recovered to the D level, the rest of them recovered to the E level. There were significant differences statistically in the spinal cord function (P ＜ 0.01) before and after surgery. After the last follow-up, the angulation of kyphosis and scoliosis was corrected in varying degrees. Physiologic curve restoration was well. Compared with preoperative, the Cobb angle changed significantly (P ＜ 0.01). Evaluated by Mehtaet standards, 41 cases were cured and the cure rate was 95.34%. Conclusion The way of extraperitoneal debridement and posterior bone graft fixation is effective for treatment of spinal tuberculosis.关键词
脊柱结核/腹膜外/病灶清除/植骨/后路/内固定Key words
Spinal tuberculosis/ Extraperitoneal/ Clearance of focal lesion/ Bone graft/ Posterior/ Internal fixation引用本文复制引用
何生,谢造福,邹尚浏,黄少辉..经腹膜外病灶清除植骨一期后路内固定术治疗脊柱结核的效果[J].实用医学杂志,2012,28(16):2718-2720,3.
