胸腰段椎体结核不同路径内固定手术的疗效比较

Clinical Efficacy Comparison of Different Surgery Routine in Treating Nodule in Thoracolumbar

目的探讨前后路径内固定手术治疗胸腰段椎体结核的临床疗效。方法选取我院2007年9月～2010年8月收治的40例腰胸段椎体结核患者的临床资料,分为治疗组(20例)和对照组(20例),治疗组患者采用前路内固定术,对照组患者采用后路内固定术,比较两组患者的手术时间、术中出血量以及功能恢复情况。结果经后路径内固定手术治疗胸腰段结核手术时间短、术中出血量少,两组患者比较差异有统计学意义(P<0.05),两组患者疗效比较差异无统计学意义(P>0.05)。结论后路径内固定手术时间短、术中出血量少,前路径内固定手术时间长、术中出血量大,病灶清除后需要植骨恢复高度,结核处于静止期,脊髓压迫有截瘫的患者,在临床工作中根据患者的病情考虑手术入路,减轻患者的痛苦。

【Objective】 To investigate the clinical significance of frontier and posterior internal fixation in treating nodule in thoracolumbar.【Methods】 40 cases of patients with nodule in thoracolumbar,of which 20 cases underwent frontier internal fixation called therapy group,and 20 cases underwent surgery in posterior called control group,were enrolled in the study.The time of surgery,bleeding quantity in surgery and recovery condition were analyzed.【Results】 The surgery time and bleeding quantity of posterior surgery were obviously less than frontier surgery（P0.05）.There were no significant differences between two groups in efficacy.【Conclusion】 The posterior internal fixation shows advantages in shorter surgery time and less bleeding quantity.While the frontier surgery has a longer surgery time and bigger bleeding quantity which needs better recovery rate of bone fusion after clean the focus.The surgery routine should be taken into consideration for decreasing patients＇ pain.