摘要
目的:探讨脊柱结核术后复发与血沉的关系。方法:采用病灶清除术治疗胸腰椎结核80例,男36例,女44例;年龄20～71岁,平均38.2岁。以术前血沉40mm/h为界线分组:A组42例,手术前血沉≥40mm/h;B组38例,手术前血沉<40mm/h。2组患者手术前后抗结核治疗程序一致,对2组患者手术后复发情况进行分析。结果:80例均获随访,A组平均随访36个月,5例术后局部复发;B组平均随访32个月,4例术后局部复发。两组间的复发率没有明显差别。结论:血沉不是脊柱结核手术时机选择的主要观察指标。
Objective：To explore the relation between erythrocyte sedimentation rate（ESR） and postoperative recurrence of spinal tuberculosis. Methods：Eighty cases（36 males and 44 female,ranging from 20 to 71 years with an average of 38.2 years）of spinal tuberculosis treated with focus debridement were divided into two groups according to the preoperative value of ESR：Group A（ESR≥40 mm/h） and Group B（ESR〈40 mm/h）. Patients in two groups were treated by the same method. The postoperative recurrences in two groups were analyzed. Results：All the patients were followed up. The recurred cases were 5 in Group A and 4 in Group B. There is no significant difference between two groups. Conclusion：ESR is not the key factor to choose the right operative time to perform debridement.
出处
《中国骨伤》
CAS
2008年第4期291-293,共3页
China Journal of Orthopaedics and Traumatology
关键词
结核
脊柱
血沉
外科手术
复发
Tuberculosis,spinal
Blood sedimentation
Surgical procedures,operative
Recurrence
