中国现代手术学杂志2019，Vol.23Issue(1)：30-34,5.DOI:10.16260/j.cnki.1009-2188.2019.01.007
前路手术治疗颈椎布鲁氏杆菌脊柱炎临床研究
Clinical Study of Anterior Approach for the Treatment of Brucella Tpondylitis in Cervical Vertebrae
摘要
Abstract
Objective To investigate the curative effect of anterior approach for Brucella spondylitis in cervical vertebrae. Methods The clinical data of 19 patients with Brucella spondylitis in cervical vertebrae who were diagnosed and treated in our hospital from February 2005 to December 2017 were retrospectively analyzed. All patients underwent X-ray and MRI before operation. All patients underwent internal fixation with anterior radical debridement and interbody fusion. The surgical general condition, curative effect of treatment, visual analogue score (VAS), scores of Japanese Orthopaedic Association (JOA) and recent follow-up of all the 19 patients were analyzed. Results In the 19 patients, average operation time and intraoperative blood loss was (52.52 ± 10.62) min and (282.01 ± 8. 32) ml respectively. There was no spinal cord, nerve and vascular injury, nor esophagotracheal fistula during the surgery. Postoperative incision was healed at stage I. The total response rate at 3, 6, and 12 months after surgery were 89.47％, 94.74％, and 100％ respectively (χ2 = 2.111, P＞0.05). The VAS scores significantly decreased, while the JOA scores significantly increased after surgery (P ＜ 0. 001). It was found of the fair fusion of the bone graft, good lesions repair, and stable cervical vertebrae within 3 to 6 months follow-up. There was no cervical spondylolisthesis, failure of intervertebral bone grafting or internal fixation, abscess or dead bone during the 7 to 12 months follow-up. Conclusion The application of anterior approach with debridement and titanium mesh cage graft internal fixtion can effectively control the development of lesions, relieve pain, reconstruct cervical stability, promote function recovery, and improve prognosis with good safety for patients with Brucella spondylitis in cervical vertebrae.关键词
脊柱炎/布鲁氏杆菌/颈椎/前路病灶清除椎间植骨内固定术Key words
spondylitis/Brucella/cervical vertebrae/anterior radical debridement and interbody fusion internal fixation分类
医药卫生引用本文复制引用
费正奇,高应超,韩敬凛,陈波..前路手术治疗颈椎布鲁氏杆菌脊柱炎临床研究[J].中国现代手术学杂志,2019,23(1):30-34,5.基金项目
宁夏自然科学基金资助项目(NZ11236) （NZ11236）
