两种手术治疗胸椎结核临床分析.doc

两种手术治疗胸椎结核临床分析.doc两种手术治疗胸椎结核临床分析【摘要】目的:比较两种手术入路治疗胸椎结核的临床疗效。方法:将符合标准的124例胸椎结核患者随机分成观察组(65例)和对照组(59例),观察组行经胸膜外一期前路病灶清除植骨融合内固定术,对照组行经肋骨横突病灶清除植骨术。结果:随访12〜24个月,观察纟II在手术时间、术中出血量、植骨融合时间和平均矫止角度筹方而明显优于对照组();对有脊髓神经损害的患者,两种术式对其恢复情况无统计学意义(P>);从治疗效果看,%,%,两组患者临床疗效差异有统计学意义()。结论:经胸膜外一期前路病灶清除植骨融合内固定术治疗胸椎结核具有手术视野淸楚、病灶淸除彻底、复发率低、住院时间相对鮫短等优点,是治疗胸椎结核鮫好的方法Z—O【关键词】胸椎结核;手术治疗;一期植骨内固定;病灶清除术[ABSTRACT]Objective::Atotalof124eligiblepatientswiththoracicvertebratuberculosiswererandomlydividedintoobservationgroup(65cases)andcontrolgroup(59cases).Thecontrolgroupwastreatedwithdebridementandbonegraftviaribandtransverseapproach,:Accordingtofollow-upof12-24months,esregardingtotheoperationtime,intraoperativebleedingvolume,bonegraftfusiontimeandtheaveragecorrectionanglethanthecontrolgroup(P<).Forpatientswithspinalnerveimpairmentofthetwogroups,eswerefound(P>).%intheobservationgroup,%ofthecontrolgroup(P<).Conclusions:pleteclearanceoflesions,urrence,shorthospitalizationtime・[KEYWORDS]Thoracicspinaltuberculosis;Operationtreatment;One-stagebonegraftingandinternalfixation;Clearanceoflesions脊柱结核高居全身骨关节结核的首位,约占全身骨