医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
14期
109-109
,共1页
脊柱结核%胸腰稚%内固定器%骨科
脊柱結覈%胸腰稚%內固定器%骨科
척주결핵%흉요치%내고정기%골과
Thoracolumbar spinal tuberculosis%Juvenile%Internal fixators%Department of orthopedics
目的分析研究应用前后路内固定手术对于治疗胸腰段脊柱结核患者的临床效果。方法选择我院收治的该类患者作为研究对象并进行分组研究，均应用病灶清除并植骨融合内固定进行治疗。A组行前路内固定术；B组行后路内固定术。两组再细分为累及单个椎体组(A1、B1组)和多个椎体组(A2、B2组)。将组间手术时间、出血量以及矫形率等情况进行对比。结果在手术时间以及术中出血量方面，A1组均显著低于B1组(<0.05)；在矫形率以及稳定性方面，B2组均显著优于A2组(<0.05)。结论针对该类疾病累及单个椎体的患者，其理想方案为前路内固定手术方式；而针对累及多个椎体患者，其理想方案为后路内固定术。针对患者的具体病情选择对应的治疗方案，对于促进患者尽快康复具有积极意义。
目的分析研究應用前後路內固定手術對于治療胸腰段脊柱結覈患者的臨床效果。方法選擇我院收治的該類患者作為研究對象併進行分組研究，均應用病竈清除併植骨融閤內固定進行治療。A組行前路內固定術；B組行後路內固定術。兩組再細分為纍及單箇椎體組(A1、B1組)和多箇椎體組(A2、B2組)。將組間手術時間、齣血量以及矯形率等情況進行對比。結果在手術時間以及術中齣血量方麵，A1組均顯著低于B1組(<0.05)；在矯形率以及穩定性方麵，B2組均顯著優于A2組(<0.05)。結論針對該類疾病纍及單箇椎體的患者，其理想方案為前路內固定手術方式；而針對纍及多箇椎體患者，其理想方案為後路內固定術。針對患者的具體病情選擇對應的治療方案，對于促進患者儘快康複具有積極意義。
목적분석연구응용전후로내고정수술대우치료흉요단척주결핵환자적림상효과。방법선택아원수치적해류환자작위연구대상병진행분조연구，균응용병조청제병식골융합내고정진행치료。A조행전로내고정술；B조행후로내고정술。량조재세분위루급단개추체조(A1、B1조)화다개추체조(A2、B2조)。장조간수술시간、출혈량이급교형솔등정황진행대비。결과재수술시간이급술중출혈량방면，A1조균현저저우B1조(<0.05)；재교형솔이급은정성방면，B2조균현저우우A2조(<0.05)。결론침대해류질병루급단개추체적환자，기이상방안위전로내고정수술방식；이침대루급다개추체환자，기이상방안위후로내고정술。침대환자적구체병정선택대응적치료방안，대우촉진환자진쾌강복구유적겁의의。
Objective To study application of anterior and posteriorfixation operation for clinical outcome in patients with treatment of thoracolumbar spinal tuberculosis. Methods In our hospital, the patients were grouped as the object of study and research, both the application of debridement and fusion with internal fixation and bone graft for treatment. A group underwent anterior internalfixation; B group underwent posterior internal fixation. Two groups were then subdivided into single vertebrae involved (A1 group, B1 group) and multiple vertebral group (group A2, B2). The groupoperation time, bleeding amount and correction rate werecompared. Results The operation time and the intraoperative bleeding, A1 group were significantly lower than that of B1 group ( <0.05); in the correction rate and stability, the B2 group was significantly bet er than the A2 group ( < 0.05). Conclusion Theinvolvement of this kind of disease in patients with single vertebral body, the ideal solution for fixed operation mode of anterior internal; while the involved multiple vertebral patients, the ideal solution for posterior internal fixation. Treatment options forpatients with specific conditions corresponding, to promote therecovery of patients as soon as possible is of positive significance.
