CAJ | 학술논문

目的：探讨研究脊柱结核采用微创手术治疗的疗效和安全性。方法抽取2012年9月至2013年7月收治的脊柱结核的病人60例，随机分为实验组和对照组，每组各30例。对照组实施常规临床手术模式，实验组实施临床微创手术。观察对比两组手术时间、出血量、住院天数、病人满意度、术后并发症发生率以及复发率、脊柱后凸畸形矫正情况。结果实验组手术时间、术中出血量以及住院天数明显低于对照组，差异均具有显著性（ P ﹤0.05）；且实验组病人满意度明显优于对照组，手术后并发症发生率以及复发率明显低于对照组，患者脊柱后凸畸形矫正率也明显优于对照组，差异均具有显著性（ P ﹤0.05）。结论脊柱结核采用微创手术进行治疗，可以使脊柱后凸畸形明显改善，使发生并发症和复发的几率明显降低，使病人满意度提高，具有临床推广价值。
목적：탐토연구척주결핵채용미창수술치료적료효화안전성。방법추취2012년9월지2013년7월수치적척주결핵적병인60례，수궤분위실험조화대조조，매조각30례。대조조실시상규림상수술모식，실험조실시림상미창수술。관찰대비량조수술시간、출혈량、주원천수、병인만의도、술후병발증발생솔이급복발솔、척주후철기형교정정황。결과실험조수술시간、술중출혈량이급주원천수명현저우대조조，차이균구유현저성（ P ﹤0.05）；차실험조병인만의도명현우우대조조，수술후병발증발생솔이급복발솔명현저우대조조，환자척주후철기형교정솔야명현우우대조조，차이균구유현저성（ P ﹤0.05）。결론척주결핵채용미창수술진행치료，가이사척주후철기형명현개선，사발생병발증화복발적궤솔명현강저，사병인만의도제고，구유림상추엄개치。
Objective To analyze the clinical effect of treatment of spinal tuberculosis treated by minimally invasive operation. Methods From 2012 September to 2013 year in July in our hospital,60 patients with spinal tuberculosis patients were randomly divided into two groups ( experimental group and control group). Each group had 30 cases. The control group of patients received routine clinical operation mode. The ex-perimental group received clinical minimally invasive operation on the patient. Results Experimental operative time,blood loss and length of hos-pital stay was significantly lower than those of the control group. The differences were statistically significant( P ﹤0. 05). patient satisfaction in the experimental group is higher than that of the control group. The incidence of complications and recurrence rates after surgery significantly is lower than that of the control group. patients with kyphosis correction rate was significantly better than the control group,the differences were sta-tistically significant( P ﹤0. 05). Conclusion Spinal tuberculosis can be treated by minimal invasive operation. This method can make the ky-phosis obviously improved. The incidence of complications and recurrence were significantly decreased,can better the quality of life of patients and health protection. This method has clinical value.