单纯后路术治疗脊柱结核的临床评价分析

Clinical analysis of simple posterior surgery in treatment of spinal tuberculosis

目的研究对比单纯后路术与前后路联合术治疗脊柱结核的临床应用及效果。方法对我院2006年2月～2010年2月四年间66例进行单纯后路术和52例进行前后路联合术式的脊柱结核患者,进行住院时间、手术时间、术中出血量、后凸畸形矫正度等数据的统计分析。结果住院时间、手术时间、术中出血量、后凸畸形矫正度等研究指标表明单纯后路术明显优于前后路联合术式(P<0.01)。结论单纯后路术治疗脊柱结核其在住院时间、手术时间、术中出血量、后凸畸形矫正率等方面均优于前后路联合术,值得临床推广应用。

Objective To study and compare the clinical application and efficacy of the simple posterior surgery and the combined anterior and posterior surgery in the treatment of spinal tuberculosis. Methods The hospital stay, operative time, intraoperative blood loss,kyphosis deformity correction and other data of 66.patients with spinal tuberculosis receiving simple posterior surgery and 52 patients with spinal tuberculosis receiving combined anterior and posterior surgery in our hospital from February 2006 to February 2010 were analyzed statistically. Results The hospital stay, operative time, intraoperative blood loss, kyphosis deformity correction and other indicators showed that the simple posterior surgery was significantly superior to the combined anterior and posterior surgery（P 〈 0.01 ）. Conclusion The simple posterior surgery was superior to the combined anterior and posterior surgery in the hospital stay,operative time, intraoperative blood loss,kyphosis deformity correction and other aspects, thereby worthy of clinical promotion and application.