前后联合入路手术治疗腰椎结核的临床研究

Combined anterior and posterior approach operation for treatment of lumbar tuberculosis

目的:探讨前后联合入路手术治疗腰椎结核的临床可行性及疗效。方法:采用后路椎体内固定前路病灶清除植骨融合的方法治疗腰椎结核43例。结果:本组有2例患者术后有窦道形成,其他患者的切口均I期愈合,随访时间为3年,椎体间植骨界面骨性融合时间平均为4.9个月,cobb角平均丢失4.2°。血沉于术后2～3个月恢复正常。随访期内病灶无复发。结论:前后联合入路手术治疗腰椎结核有利于恢复脊挂的稳定性,提高植骨融合率,纠正和预防后凸畸形,提高临床治愈率。

Objective：To explore the clinical feasibility and efficacy of the combined anterior and posterior approach operation for treatment of lumbar vertebrae tuberculosis.Methods：To treat 43 cases of lumbar vertebrae tuberculosis patients using the method of posterior internal fixation and anterior debridement and interbody fusion operation.Results：2postoperative sinus formation,other patients were stage Ⅰ wound healing.Fullup for 3 years,interbody bone fusion interface average 4.9 months,cob angle average lost 4.2 °,ESR after 2 to 3 months to normal.There was no patient recurrence in the follow-up period.Conclusions：The combined anterior and posterior approach operation for treatment of lumbar vertebrae tuberculosis facilitates the recovery of spinal hanging stability,improve the fusion rate of bone graft,correction and prevention of kyphosis,to improve the clinical cure rate.