后路经椎板间病灶清除植骨内固定治疗胸腰段脊柱结核疗效分析

目的研究并评估后路经椎板间病灶清除植骨内固定对胸腰段脊柱结核的临床疗效。方法：选择胸腰段脊柱结核患者34例，所有患者均予以后路经椎板间病灶清除植骨内固定手术治疗，对比相关指标来评价疗效。结果；手术后患者的Cobb角、VAS评分和0DI评分均显著低于手术治疗前水平（P〈0．05）；手术时间（206．59±21．76）min，手术出血量（587．65±98．57）mL。34例患者手术切口均一期愈合，随访未出现结核复发。结论：胸腰段脊柱结核患者予以后路经椎板间病灶清除植骨内固定手术治疗的效果确切，能够显著提升后脊柱稳定性，且可减轻患者疼痛感，降低畸形风险。

Objective To study and evaluate with posterior lamina debridement and clinical outcomes within the bone gratt fixation tar thoracolumbar spinal tuberculosis. Methods： July 2014 - November 2015 thoracolumbar spinal tuberculosis patients in our hospital 34 patients for the study, all patients are therefore correspondingly after passing interlaminar debridement and internal fixation, compared to related indicators to evaluate the efficacy. Results： After surgery the Cobb angle, VAS score and ODI score was significantly lower than surgery pretreatment levels, before and after comparison difference by statistics after significant analysis of significance（P〈0.05）; operative time （206.59＋21.76） rain, blood loss （587.65＋98.57） mL. 34 patients surgical incisions healed up for recurrence of tuberculosis does not appear. Conclusion： thoracolumbar spinal tuberculosis after passing interlaminar be debridement effect internal fixation surgery exact, can significantly improve spinal stability, and reduce pain in patients and reduce the risk of malformations.