CAJ | 학술논문

　　目的探讨前、后入路手术治疗胸腰椎结核的疗效。方法选取我院2010年1月～2012年1月诊治的胸腰椎结核患者80例，根据治疗方法分为两组，各40例，比较两组手术时间、术中出血量，使用Frankel分级评估脊髓损害程度。结果两组均无一例复发，后入路组手术时间和术中出血量分别均明显低于前入路组，差异有统计学意义（P＜0.05），而术后Cobb角改善显著优于前入路组，两组比较差异有统计学意义（P＜0.05），后路组术后Frankel分级A级1例，C级2例，其余均为D或E级，前入路组A级1例，B级1例，C级2例，其余均为D或E级，两组术后Frankel分级无统计学差异（P＞0.05）。结论后入路手术在治疗胸腰椎结核中具有更明显的优势，显著改善神经功能，降低复发率。
　　목적탐토전、후입로수술치료흉요추결핵적료효。방법선취아원2010년1월～2012년1월진치적흉요추결핵환자80례，근거치료방법분위량조，각40례，비교량조수술시간、술중출혈량，사용Frankel분급평고척수손해정도。결과량조균무일례복발，후입로조수술시간화술중출혈량분별균명현저우전입로조，차이유통계학의의（P＜0.05），이술후Cobb각개선현저우우전입로조，량조비교차이유통계학의의（P＜0.05），후로조술후Frankel분급A급1례，C급2례，기여균위D혹E급，전입로조A급1례，B급1례，C급2례，기여균위D혹E급，량조술후Frankel분급무통계학차이（P＞0.05）。결론후입로수술재치료흉요추결핵중구유경명현적우세，현저개선신경공능，강저복발솔。
Objective To observe the clinical effect of thoracic and lumbar tuberculosis before and after the tract. Methods 80 patients with thoracic and lumbar tuberculosis were selected and randomly divided into two groups according to treatment method from Jan 2010 to Jan 2012 in our hospital.The operation time,intraoperative blood loss and Frankel degree were compared between the two groups. Results There were no recurrence cases.The operation time and intraoperative blood loss in posterior approach groups were significantly lower than those in anterior group (P < 0.05).The postoperative Cobb Angle had improved better than that in anterior group(P < 0.05).Frankel grade A level 1 case in postoperative posterior group,C level in 2 cases,the rest was D or E, Frankel grade A level 1 case in anterior group,B level in 1 case,C level in 2 cases,the rest was D or E.There was no significant difference in the Frankel degree between the two groups (P>0.05). Conclusion The operation by using posterior approach has more advantages,and can improve the neurological function and reduce the recurrence rate.