脊柱结核单纯病灶清除术的疗效评价

The curative effect evaluation on eraducating of focus simple tuberculosis in spinal tuberculosis

目的探讨单纯结核病灶清除术治疗脊柱稳定性未完全破坏脊柱结核的疗效。方法 2007年1月至2009年12月手术治疗成人胸、腰椎脊柱稳定性未完全破坏脊柱结核患者53例,男29例,女24例;年龄22～73岁,平均36.2岁;病史3～48个月,平均17个月。按患者意愿分为两组,即实验组与对照组,其中实验组31例,对照组22例,对照组行彻底的清除病灶术,实验组行单纯结核病灶清除术,平均随访38个月,对比两组患者手术后疗效、并发症和经济费用。结果两组患者手术疗效无显著性差异(P>0.05),对照组患者并发症较重且费用明显增加(P均<0.01)。结论脊柱结核单纯病灶清除术对于脊柱稳定性未完全破坏的患者,尤其是经济条件较差的患者仍不失为一种经济有效的治疗手段。

Objective To investigate the finite nature of tuberculosis lesions in the treatment of spinal stability is not clear the total destruction of the efficacy of spinal tuberculosis.Methods From January 2007 to December 2009,with 53 cases of spinal tuberculosis patients surgical treatment of adult thoracic and lumbar spinal stability had not been completely destroyed,male 29 cases,female 24 cases;aged 22 to 73 years,mean 36.2 years old;history of 3～48 months,an average of 17 months.Randomly divided into two groups according to admission that the experimental group and control group,31 cases in the experimental group and 22 cases of control group with completely cleared lesions,the experimental group with simple TB lesions dissection,followed up for 38 months.Compared efficacy of two groups of patients with post-operative complications,and economic costs.Results Surgical treatment of two groups of patients with no significant difference（P〈0.05）,control patients and the cost of complications increased significantly heavier（P〈0.01）.Conclusion Focus of spinal tuberculosis with simple dissection of spinal stability for patients who have not completely destroyed,particularly in patients with poor economic conditions may well be a cost-effective treatment.