中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
25期
87-88,103
,共3页
病灶清除%局部化疗%脊柱结核%临床疗效
病竈清除%跼部化療%脊柱結覈%臨床療效
병조청제%국부화료%척주결핵%림상료효
Lesions clearing%Local chemotherapy%Spinal tuberculosis%Clinical effect
目的：探讨经皮病灶清除联合局部化疗治疗脊柱结核患者的临床疗效。方法将整群选取该院2011年8月-2014年8月期间收治的64例脊柱结核患者随机均分为观察组和对照组，对照组采用传统开放病灶清除术进行治疗，观察组采用经皮病灶清除术联合局部化疗进行治疗。观察两组临床效果。结果观察组治疗总有效率为96.8%，明显大于对照组的75%，差异有统计学意义(P<0.05)；观察组术后ESR、CRP明显低于对照组，差异有统计学意义(P<0.05)；观察组术中出血量、手术时间、病椎愈合时间均优于对照组，差异有统计学意义(P<0.05)。结论经皮病灶清除联合局部化疗治疗脊柱结核患者有助于减少术中出血量、手术及病椎愈合时间、缓解患者痛苦，可在临床上推广应用。
目的：探討經皮病竈清除聯閤跼部化療治療脊柱結覈患者的臨床療效。方法將整群選取該院2011年8月-2014年8月期間收治的64例脊柱結覈患者隨機均分為觀察組和對照組，對照組採用傳統開放病竈清除術進行治療，觀察組採用經皮病竈清除術聯閤跼部化療進行治療。觀察兩組臨床效果。結果觀察組治療總有效率為96.8%，明顯大于對照組的75%，差異有統計學意義(P<0.05)；觀察組術後ESR、CRP明顯低于對照組，差異有統計學意義(P<0.05)；觀察組術中齣血量、手術時間、病椎愈閤時間均優于對照組，差異有統計學意義(P<0.05)。結論經皮病竈清除聯閤跼部化療治療脊柱結覈患者有助于減少術中齣血量、手術及病椎愈閤時間、緩解患者痛苦，可在臨床上推廣應用。
목적：탐토경피병조청제연합국부화료치료척주결핵환자적림상료효。방법장정군선취해원2011년8월-2014년8월기간수치적64례척주결핵환자수궤균분위관찰조화대조조，대조조채용전통개방병조청제술진행치료，관찰조채용경피병조청제술연합국부화료진행치료。관찰량조림상효과。결과관찰조치료총유효솔위96.8%，명현대우대조조적75%，차이유통계학의의(P<0.05)；관찰조술후ESR、CRP명현저우대조조，차이유통계학의의(P<0.05)；관찰조술중출혈량、수술시간、병추유합시간균우우대조조，차이유통계학의의(P<0.05)。결론경피병조청제연합국부화료치료척주결핵환자유조우감소술중출혈량、수술급병추유합시간、완해환자통고，가재림상상추엄응용。
Objective To explore the clinical effect of percutaneous focal debridement combined with local chemotherapy in the treatment of patients with spinal tuberculosis. Methods 64 patients with spinal tuberculosis were admitted to our hospital between August 2011 and August 2014. We randomly divided them into control group (n=32, undergoing traditional open debridement), and observation group (n=32, receiving percutaneous focal debridement combined with local chemotherapy). The clinical effects of the two groups were compared. Results The total effective rate of the observation group was 96.8%, significantly higher than that of the control group (75%),and the difference was statistically significant (P<0.05);the ESR and CRP after operation of the observa-tion group were significantly lower than those of the control group, and the differences were statistically significant (P<0.05); the amount of bleeding, operation time and disease healing time of the observation group were less than those of the control group, and the differences were statistically significant (P<0.05).Conclusion Percutaneous focal debridement combined with local chemothera-py in the treatment of patients with spinal tuberculosis can reduce the amount of bleeding, shorten the operation duration and dis-ease healing time, and relief their pain, therefore this method could be widely applied in clinical practice.
