中国现代手术学杂志2018，Vol.22Issue(1)：33-36,4.DOI:10.16260/j.cnki.1009-2188.2018.01.009
一期前后路联合与单纯前路内固定手术治疗腰椎结核的效果对比
Comparison of the Effects of One-stage Combination of the Anterior and Posterior Approaches with Simple Anterior Fixation in the Treatment of Lumbar Tuberculosis
周建华 1张昊 1陈少初 1张弦 1胡亚威 1菅新民 1卢学有 1罗卓荆 2黄景辉2
作者信息
- 1. 深圳市龙华区人民医院脊柱外科,广东深圳518109
- 2. 西京医院脊柱外科,陕西西安710032
- 折叠
摘要
Abstract
Objective To compare the clinical effects of the one-stage combined anterior and posterior approach with the simple anterior approach in the treatment of lumbar tuberculosis.Methods Retrospective analysis was done in 92 patients with lumbar tuberculosis who underwent bone grafting and internal fixation from September,2008 to September,2013.Among them,there were 46 cases of group A received the combined anterior and posterior approach with internal fixation.And there were 46 cases of group B underwent a simple anterior fixation.All patients were routinely treated with standard anti-TB drugs for 3 weeks before operation.Results In group A,the value of operation time,intraoperative blood loss,postoperative hospital stay,the use days of antibiotic,operation area drainage volume,the incidence of complications,and fusion time was (315.5 ±30.4) ml,(607.0±104.3)ml,(14.0±1.7)d,(7.3±1.3)d,(230.5±23.4)ml,6.52％ and (6.1 ± 1.3) months respectively,which was higher than that of group B [(240.7 ± 35.7) min,(319.3 ±88.2)ml,(10.0±2.1) d,(4.6±2.1) d,(168.7±25.1) ml,2.17％ and (5.8±2.3) months] except for the complication rate and fusion time (P ＜0.001).The rate of kyphotic correction was 71.0％ ±4.3％ in group A,which was higher than 52.0％ ± 3.6％ of group B (P ＜ 0.001).The Cobb angle of group A were less than group B at the last follow-up (P ＜ 0.001).After 3.5 years follow-up,the cure rate of group A was 93.7％,which was not different of 88.6％ of group B (P ＞ 0.05).Conclusion It demonstrates that the one-stage combined anterior and posterior approach provides better local clearace,higher correction rate of malformation and better spinal stability.关键词
结核/腰椎/内固定术/病灶清除Key words
tuberculosis/lumbar spine/internal fixation/lesion removal分类
医药卫生引用本文复制引用
周建华,张昊,陈少初,张弦,胡亚威,菅新民,卢学有,罗卓荆,黄景辉..一期前后路联合与单纯前路内固定手术治疗腰椎结核的效果对比[J].中国现代手术学杂志,2018,22(1):33-36,4.
