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后路病灶清除植骨融合内固定术在脊柱结核患者中的应用效果

杨帆 杨雯 侯煜 王林杰 孙博 梁志兴 申志坤 胡海娟 宋静

检验医学与临床2016,Vol.13Issue(24):3473-3474,3477,3.
检验医学与临床2016,Vol.13Issue(24):3473-3474,3477,3.DOI:10.3969/j.issn.1672-9455.2016.24.014

后路病灶清除植骨融合内固定术在脊柱结核患者中的应用效果

The effect of posterior debridement and bone graft fusion with internal fixation in patients with spinal tuberculosis

杨帆 1杨雯 2侯煜 3王林杰 3孙博 3梁志兴 3申志坤 3胡海娟 4宋静4

作者信息

  • 1. 河北省保定市第三中心医院 骨科 071000
  • 2. 河北省保定市第三中心医院 中西医结合 071000
  • 3. 河北大学附属医院骨科,河北保定071000
  • 4. 河北省保定市第一医院药剂科 071000
  • 折叠

摘要

Abstract

Objective To discuss the effect of posterior debridement and bone graft fusion with internal fixation on spinal tuber‐culosis patients .Methods A total of 84 patients with spinal tuberculosis were retrospectively analyzed from January 2009 to Janu‐ary 2014 .All patients were treated with posterior debridement and internal fixation .Before and after treatment ,the nerve function ASIA classification ,patients with disability index (ODI) and visual analogue scale (VAS ) ,cobb angle ,erythrocyte sedimentation rate (ESR) were recorded ;at the same time ,the operation time and the amount of bleeding during the operation were recorded ,and the data was analyzed .Results After surgery ,cobb angle and ODI was significantly improved compared with preoperative (P<0 .05);after surgery ,the VAS score and ESR were significantly improved ,the difference was statistically significant(P<0 .05);the average operation time was(198 .9 ± 44 .3) min ,the average amount of bleeding was (551 .2 ± 123 .6) mL .No recurrence and infec‐tion occurred ,and no complication occurred .Conclusion Posterior debridement and bone graft fusion with internal fixation in treat‐ment patients with spinal tuberculosis has good effect ,and the safety is high .

关键词

后路病灶清除/脊柱结核/胸椎/腰椎/疗效

Key words

posterior debridement/spinal tuberculosis/thoracolumbar/lumbar vertebrae/curative effect

引用本文复制引用

杨帆,杨雯,侯煜,王林杰,孙博,梁志兴,申志坤,胡海娟,宋静..后路病灶清除植骨融合内固定术在脊柱结核患者中的应用效果[J].检验医学与临床,2016,13(24):3473-3474,3477,3.

检验医学与临床

1672-9455

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