重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2015年
14期
1908-1910
,共3页
脊柱结核%术后复发%病灶清除%植骨融合%危险因素
脊柱結覈%術後複髮%病竈清除%植骨融閤%危險因素
척주결핵%술후복발%병조청제%식골융합%위험인소
spinal tuberculosis%postoperative recurrence%debridement%bone graft fusion%risk factors
目的：研究老年脊柱结核病灶清除和植骨融合术后复发的危险因素。方法对2003年1月至2013年12月415例老年脊柱结核患者的资料进行回顾性分析。415例老年脊柱结核患者中46例术后出现复发（观察组），369例术后治愈（对照组）。统计两组受试者术前抗结核治疗时长、手术清除病灶程度、术后规范治疗、骨外结核、耐药、术后制动时长、合并系统性疾病、贫血或营养不良等情况。结果术前抗结核治疗时长、手术清除病灶程度、术后规范治疗、骨外结核、耐药、术后制动时长、合并系统性疾病、贫血或营养不良与老年脊柱结核术后复发密切相关，为其独立危险因素。结论老年脊柱结核病灶清除和植骨融合术后复发与多种因素密切相关。
目的：研究老年脊柱結覈病竈清除和植骨融閤術後複髮的危險因素。方法對2003年1月至2013年12月415例老年脊柱結覈患者的資料進行迴顧性分析。415例老年脊柱結覈患者中46例術後齣現複髮（觀察組），369例術後治愈（對照組）。統計兩組受試者術前抗結覈治療時長、手術清除病竈程度、術後規範治療、骨外結覈、耐藥、術後製動時長、閤併繫統性疾病、貧血或營養不良等情況。結果術前抗結覈治療時長、手術清除病竈程度、術後規範治療、骨外結覈、耐藥、術後製動時長、閤併繫統性疾病、貧血或營養不良與老年脊柱結覈術後複髮密切相關，為其獨立危險因素。結論老年脊柱結覈病竈清除和植骨融閤術後複髮與多種因素密切相關。
목적：연구노년척주결핵병조청제화식골융합술후복발적위험인소。방법대2003년1월지2013년12월415례노년척주결핵환자적자료진행회고성분석。415례노년척주결핵환자중46례술후출현복발（관찰조），369례술후치유（대조조）。통계량조수시자술전항결핵치료시장、수술청제병조정도、술후규범치료、골외결핵、내약、술후제동시장、합병계통성질병、빈혈혹영양불량등정황。결과술전항결핵치료시장、수술청제병조정도、술후규범치료、골외결핵、내약、술후제동시장、합병계통성질병、빈혈혹영양불량여노년척주결핵술후복발밀절상관，위기독립위험인소。결론노년척주결핵병조청제화식골융합술후복발여다충인소밀절상관。
Objective To study the risk factors of recurrence after debridement bone graft fusion in elderly patients with spi‐nal tuberculosis(TB) .Methods The data of 415 elderly patients with spinal tuberculosis in our hospital from January 2003 to De‐cember 2013 were retrospectively analyzed .Among them ,46 cases (observation group) recurred and 369 cases(control group) had no postoperative recurrence .The preoperative anti‐TB treatment duration ,surgical removal degree of lesions ,postoperative stand‐ardized therapy ,extra‐skeletal TB ,drug resistance ,postoperative braking duration ,complicating systemic disease ,anemia or malnu‐trition ,etc .were statistically analyzed .Results Preoperative anti‐TB treatment duration ,surgical removal degree of lesions ,postop‐erative standardized therapy ,extra‐skeletal TB ,drug resistance ,postoperative braking duration ,complicating systemic disease ,ane‐mia or malnutrition were the major risk factors for postoperative recurrence of senile spinal TB ;preoperative anti‐TB treatment du‐ration ,surgical removal degree of lesions ,postoperative standardized therapy ,extra‐skeletal TB ,drug resistance ,postoperative bra‐king duration ,complicating systemic disease and anemia or malnutrition were closely related with postoperative recurrence of senile spinal TB ,which were their independent risk factors .Conclusion The recurrence of senile spinal tuberculosis and bone graft fusion and is closely related to various factors .
