中国医药导报
中國醫藥導報
중국의약도보
China Medical Herald
2015年
30期
77-80
,共4页
胸椎结核%脊柱融合术%内固定%病灶清除
胸椎結覈%脊柱融閤術%內固定%病竈清除
흉추결핵%척주융합술%내고정%병조청제
Thoracic vertebrae tuberculosis%Spinal fusion%Internal fixators%Debridement
目的：评价抗结核药物联合一期后路病灶清除植骨融合内固定矫形治疗成人胸椎结核的效果。方法选取2014年1月~2015年1月新乡医学院第一附属医院院就诊的胸椎段结核患者75例。对患者进行抗结核药物联合一期后路病灶清除植骨融合内固定矫形治疗，比较手术前后美国脊髓损伤神经学分类国际标准损伤分级(ASIA)情况及术血沉(ESR)、Cobb角的差异。结果患者术后神经功能得到不同程度的改善和恢复，ASIA分级与术前比较，差异有高度统计学意义(P<0.01)。患者术后即刻ESR和Cobb角与术前比较，差异有高度统计学意义(P<0.01)；术后3个月的ESR和Cobb角与术前比较，差异有高度统计学意义(P<0.01)；术后3个月的ESR与术后即刻比较，差异有高度统计学意义(P<0.01)。结论抗结核药物联合一期后路病灶清除植骨融合内固定矫正治疗成人胸椎结核效果确切，且安全可靠，临床可以推广使用。
目的：評價抗結覈藥物聯閤一期後路病竈清除植骨融閤內固定矯形治療成人胸椎結覈的效果。方法選取2014年1月~2015年1月新鄉醫學院第一附屬醫院院就診的胸椎段結覈患者75例。對患者進行抗結覈藥物聯閤一期後路病竈清除植骨融閤內固定矯形治療，比較手術前後美國脊髓損傷神經學分類國際標準損傷分級(ASIA)情況及術血沉(ESR)、Cobb角的差異。結果患者術後神經功能得到不同程度的改善和恢複，ASIA分級與術前比較，差異有高度統計學意義(P<0.01)。患者術後即刻ESR和Cobb角與術前比較，差異有高度統計學意義(P<0.01)；術後3箇月的ESR和Cobb角與術前比較，差異有高度統計學意義(P<0.01)；術後3箇月的ESR與術後即刻比較，差異有高度統計學意義(P<0.01)。結論抗結覈藥物聯閤一期後路病竈清除植骨融閤內固定矯正治療成人胸椎結覈效果確切，且安全可靠，臨床可以推廣使用。
목적：평개항결핵약물연합일기후로병조청제식골융합내고정교형치료성인흉추결핵적효과。방법선취2014년1월~2015년1월신향의학원제일부속의원원취진적흉추단결핵환자75례。대환자진행항결핵약물연합일기후로병조청제식골융합내고정교형치료，비교수술전후미국척수손상신경학분류국제표준손상분급(ASIA)정황급술혈침(ESR)、Cobb각적차이。결과환자술후신경공능득도불동정도적개선화회복，ASIA분급여술전비교，차이유고도통계학의의(P<0.01)。환자술후즉각ESR화Cobb각여술전비교，차이유고도통계학의의(P<0.01)；술후3개월적ESR화Cobb각여술전비교，차이유고도통계학의의(P<0.01)；술후3개월적ESR여술후즉각비교，차이유고도통계학의의(P<0.01)。결론항결핵약물연합일기후로병조청제식골융합내고정교정치료성인흉추결핵효과학절，차안전가고，림상가이추엄사용。
Objective To evaluate the surgical efficacy of anti tuberculosis drugs combined with one stage posterior ap-proach to remove bone graft fusion and internal fixation in the treatment of adult thoracic tuberculosis. Methods From January 2014 to January 2015, in the First Affiliated Hospital of Xinxiang Medical University, 75 patients with thoracic vertebrae tuberculosis were selected, they were given anti tuberculosis drugs combined with one stage posterior ap-proach to remove bone graft fusion and internal fixation . The kyphosis Cobb's angle,erythrocyte sedimentation rate (ESR) and American Spinal Injury Association (ASIA) grade before and after surgery were reviewed and compared. Re-sults After the surgery, patients improved to varying degrees of neurological function and recovery, the ASIA grade were better than those before the surgery, the difference was statistically significant (P<0.01). After the surgery imme-diately, ESR, Cobb angle of patients were compared with those before the surgery, the differences were statistically sig-nificant (P<0.01);ESR, Cobb angle of patients After the surgery 3 months were compared with those before the surgery, the differences were statistically significant (P<0.01);ESR after the surgery immediately were compared with those be-fore the surgery, the differences were statistically significant (P<0.01). Conclusion One-stage radical debridement and bone graft fusion combined with internal fixation for treatment thoracic vertebrae tuberculosis via anterior thoracic ap-proach is effective safe and reliable, it can be widely used in clinical.
