当代医药论丛
噹代醫藥論叢
당대의약론총
Contemporary Medicine Forum
2015年
2期
5-7
,共3页
经皮病灶清除术联合局部化疗%开放病灶清除手术%脊柱结核%疗效研究
經皮病竈清除術聯閤跼部化療%開放病竈清除手術%脊柱結覈%療效研究
경피병조청제술연합국부화료%개방병조청제수술%척주결핵%료효연구
the treatment on spinal tuberculosis by lesions clearing local chemotherapy through skins%open surgical lesions clearing%spinal tuberculosis
目的:探讨分析应用经皮病灶清除术联合局部化疗的方法治疗脊柱结核的临床疗效。方法:选取2012年2月至2014年4月间我院收治的脊柱结核患者84例作为研究对象,采用随机数字表法将其分为对照组(42例)和观察组(42例),采用传统开放病灶清除手术为对照组患者进行治疗,采用经皮病灶清除术联合局部化疗的方法为观察组患者进行治疗,观察对比两组患者的临床疗效,并将对比的结果及两组患者的临床资料进行回顾性的分析。结果:观察组患者的手术时间为(61.54±8.94)min,术中出血量为(12.54±6.32)ml,全身化疗时间为(11.65±4.35)月,局部化疗时间为(48.64±21.36) d;对照组患者的手术时间为(125.64±11.24)min,术中出血量为(352.14±15.62)ml,全身化疗时间为(24.61±5.94)月,局部化疗时间为(2.31±0.21)d。观察组患者进行手术治疗的各项临床指标均明显优于对照组患者,差异显著(P<0.05),具有统计学意义。观察组患者治疗的总有效率为92.86%,对照组患者治疗的总有效率为71.43%,观察组患者的临床疗效明显优于对照组患者,差异显著(P<0.05),具有统计学意义。结论:应用经皮病灶清除术联合局部化疗的方法治疗脊柱结核的临床疗效显著,值得在临床上推广使用。
目的:探討分析應用經皮病竈清除術聯閤跼部化療的方法治療脊柱結覈的臨床療效。方法:選取2012年2月至2014年4月間我院收治的脊柱結覈患者84例作為研究對象,採用隨機數字錶法將其分為對照組(42例)和觀察組(42例),採用傳統開放病竈清除手術為對照組患者進行治療,採用經皮病竈清除術聯閤跼部化療的方法為觀察組患者進行治療,觀察對比兩組患者的臨床療效,併將對比的結果及兩組患者的臨床資料進行迴顧性的分析。結果:觀察組患者的手術時間為(61.54±8.94)min,術中齣血量為(12.54±6.32)ml,全身化療時間為(11.65±4.35)月,跼部化療時間為(48.64±21.36) d;對照組患者的手術時間為(125.64±11.24)min,術中齣血量為(352.14±15.62)ml,全身化療時間為(24.61±5.94)月,跼部化療時間為(2.31±0.21)d。觀察組患者進行手術治療的各項臨床指標均明顯優于對照組患者,差異顯著(P<0.05),具有統計學意義。觀察組患者治療的總有效率為92.86%,對照組患者治療的總有效率為71.43%,觀察組患者的臨床療效明顯優于對照組患者,差異顯著(P<0.05),具有統計學意義。結論:應用經皮病竈清除術聯閤跼部化療的方法治療脊柱結覈的臨床療效顯著,值得在臨床上推廣使用。
목적:탐토분석응용경피병조청제술연합국부화료적방법치료척주결핵적림상료효。방법:선취2012년2월지2014년4월간아원수치적척주결핵환자84례작위연구대상,채용수궤수자표법장기분위대조조(42례)화관찰조(42례),채용전통개방병조청제수술위대조조환자진행치료,채용경피병조청제술연합국부화료적방법위관찰조환자진행치료,관찰대비량조환자적림상료효,병장대비적결과급량조환자적림상자료진행회고성적분석。결과:관찰조환자적수술시간위(61.54±8.94)min,술중출혈량위(12.54±6.32)ml,전신화료시간위(11.65±4.35)월,국부화료시간위(48.64±21.36) d;대조조환자적수술시간위(125.64±11.24)min,술중출혈량위(352.14±15.62)ml,전신화료시간위(24.61±5.94)월,국부화료시간위(2.31±0.21)d。관찰조환자진행수술치료적각항림상지표균명현우우대조조환자,차이현저(P<0.05),구유통계학의의。관찰조환자치료적총유효솔위92.86%,대조조환자치료적총유효솔위71.43%,관찰조환자적림상료효명현우우대조조환자,차이현저(P<0.05),구유통계학의의。결론:응용경피병조청제술연합국부화료적방법치료척주결핵적림상료효현저,치득재림상상추엄사용。
Objective: To probe into the clinical effects of the treatment on spinal tuberculosis by lesions clearing local chemotherapy through skins. Methods: 84 patients who suffered from the spinal tuberculosis and who accepted treatment in our hospital from February 2012 to April 2014 were taken as the research objects, and these patients were randomly divided into the control group and the observation group, with 42 patients in each group. In the control group, they were treated with the traditional open surgical lesion clearing while in the observation group, they were treated with the lesions clearing local chemotherapy through skins. Outcome: The operation time, the amount of bleeding, the time of local chemotherapy, and the time of systemic chemotherapy in the observation group were clearly different from that in the control group(P<0.05). In addition, the whole effective rate in the observation group was 92.86%, comparing with 71.43%in the controal group. Thus, the differences had the statistical significances. Conclusion:The treatment on spinal tuberculosis by lesions clearing local chemotherapy through skins is a safe and effective method, which is good for patients to suffer and should be promoted in the clinic applications.