CAJ | 학술논문

目的：研究脊柱外伤结核手术前后入路固定方式的选择。方法：选择2009年2月～2012年6月我院收治的100例脊柱外伤结核患者为研究对象，均行病灶清除植骨融合内固定术治疗。依据患者内固定方式的不同分为前路内固定组和后路内固定组，每组各50例。前路内固定组经前路进行病灶清除，并行植骨融合术和前路钉棒或钉板内固定术；后路内固定组行经前路进行病灶清除，并行植骨融合术和后路行椎弓根后外侧植骨融合及内固定术。对比研究两组患者手术时间、术中出血量、住院时间、术后并发症、植骨融合时间和矫形率等。结果：两组患者各项手术指标、畸形矫正率、植融合时间和术后并发症比较，差异无统计学意义(P>0.05)。结论：内固定治疗脊柱外伤结核安全有效，内固定的前后入路应综合患者病变部位、术前Cobb角、患者体质等具体情况选择。
목적：연구척주외상결핵수술전후입로고정방식적선택。방법：선택2009년2월～2012년6월아원수치적100례척주외상결핵환자위연구대상，균행병조청제식골융합내고정술치료。의거환자내고정방식적불동분위전로내고정조화후로내고정조，매조각50례。전로내고정조경전로진행병조청제，병행식골융합술화전로정봉혹정판내고정술；후로내고정조행경전로진행병조청제，병행식골융합술화후로행추궁근후외측식골융합급내고정술。대비연구량조환자수술시간、술중출혈량、주원시간、술후병발증、식골융합시간화교형솔등。결과：량조환자각항수술지표、기형교정솔、식융합시간화술후병발증비교，차이무통계학의의(P>0.05)。결론：내고정치료척주외상결핵안전유효，내고정적전후입로응종합환자병변부위、술전Cobb각、환자체질등구체정황선택。
Objective:To explore anterior and posterior internal fixation for thoracolumbar tuberculosis.Methods: Choose 100 cases of spinal trauma tuberculosis patients from February 2009 to June 2012 in our hospital for study. His cases were divided into two groups:50 cases in Group of anterior internal fixation and 50 cases in Group of posterior internal fixation. Comparative study of two groups of patients operative time, blood loss, hospital stay, postoperative complications, interbody fusion and orthopedic rate.Results:It did not have a significant difference between the two groups in blood loss in operation, the Length of Stay, correction rate and fused time and complication.Conclusion:Internal fixation is safe and effective to treat spinal tuberculosis.The way to choose the internal fixation is based on the patients specific condition, such as the diseased region, kyphotic deformity, basic body constitution and so on.