| 刘祥胜1,2 王达义2 温国宏2 常巍2 李兵奎2 李明1.一期后外侧入路病灶清除植骨融合治疗老年胸椎结核[J].,2012,12(22):4338-4341 |
| 一期后外侧入路病灶清除植骨融合治疗老年胸椎结核 |
| One-stage Posterior Debridement, Bone Graft and Instrumentationfor Elderly People with Tuberculosis of Thoracic Vertebra |
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| DOI： |
| 中文关键词: 一期后外侧入路 植骨 老年 胸椎结核 |
| 英文关键词: Antituberculous chemotherapy Elderly people Tuberculosis of thoracic vertebra Single-satge |
| 基金项目:上海市科委基金(08411962900) |
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| 中文摘要: |
| 目的：探讨一期后外侧入路病灶清除植骨融合治疗老年胸椎结核的效果，为临床治疗提供依据。方法：选择2009 年1 月
~2010 年12 月我院确诊的老年胸椎结核患者38 例，根据手术方法不同，一期后外侧入路病灶清除植骨融合治疗老年胸椎结核为
观察组；一期前路病灶清除植骨融合治疗老年胸椎结核为对照组，比较两组的治疗效果。结果：治愈率为94.74%。观察组手术时
间（t=5.003，P＜0.05）、术中出血量（t=3.908，P＜0.05）及住院时间（t=4.331，P＜0.05）与对照组比较，差异均有统计学意义。观察组
术前Cobb's 角与对照组比较，t=1.235，P＞0.05，两组合差异无统计学意义。观察组术后Cobb's 角与对照组比较，t=1.993，P＜0.05，
两组术后Cobb's 角差异无统计学意义。末次随访观察组Cobb's 角与对照组比较，t=3.001，P＜0.05，两组合差异有统计学意义。结
论：采用一期后外侧入路病灶清除植骨融合治疗老年胸椎结核创伤小，减少出血量，减低住院时间，且效果良好，能提高术后患者
的生活质量。 |
| 英文摘要: |
| Objective: To analyze the clinical effects of one-stage posterior debridement, bone graft and instrumentation for elderly
people with tuberculosis of thoracic vertebra, in order to provide basis for clinical treatment. Methods: A retrospective analysis of 102
elderly people in our hospital from Jan. 2009 to Dec. 2010. All patients were divided into 2 groups. One-stage posterior debridement,
bone graft and instrumentation were carried in the study group and anterior focus clearance, bone graft plus posterior instrumentation
were carried in the control group. Compared the clinical effects of the 2 groups. Results: The cure rate of elderly people with tuberculosis
of thoracic vertebra was 94.74%.The time of operation（t=5.003, P＜0.05）, the mean bleeding（t=3.908, P＜0.05）and the median length
of hospital stay （t=4.331, P＜0.05）were statistical different significantly. There was no statistical difference significantly for Cobb's in
two groups before operation (t=1.235, P＞0.05). There was statistical difference significantly for Cobb's in two groups after operation
(t=1.993, P＜0.05). There were statistical difference significantly for Cobb's in two groups after follow-up (t=3.001, P ＜0.05).
Conclusion: The clinical effects of one-stage posterior debridement, bone graft and instrumentation for elderly people with tuberculosis of
thoracic vertebra is perfect. It is simple, reliable, causes little trauma and audition increased. It can raise patient life quality. |
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