Treatment was given to 30 cases of abdominalgia due to spinal irritation through the manipulation of spine adjustment. The method was used to relax muscle and tendons of spine and restore the normal spinal vertebral p...Treatment was given to 30 cases of abdominalgia due to spinal irritation through the manipulation of spine adjustment. The method was used to relax muscle and tendons of spine and restore the normal spinal vertebral position by rotating the processus spinosus, and pressing the spine to correct the spinal articulation. Among the 30 cases, the symptoms were absent in 19 cases after only one treatment, 2 after 2 treatments and 3 after 3 treatments. The method is to restore the normal order of spinal articulation and reobtain a balance of spine by eliminating the stimulation and oppression of radix nervorum spinalium and sympathetic nerve from disorder anterior foramina vertebra.展开更多
目的:比较前路与后路手术治疗胸腰椎结核的临床效果。方法:收集2021年1月至2023年6月在我院收住接受前路和后路治疗的40例胸腰椎感染性疾病患者的临床资料进行回顾性研究。根据两种术式不同,将患者分为两组。两组分别为前路组(n = 20)...目的:比较前路与后路手术治疗胸腰椎结核的临床效果。方法:收集2021年1月至2023年6月在我院收住接受前路和后路治疗的40例胸腰椎感染性疾病患者的临床资料进行回顾性研究。根据两种术式不同,将患者分为两组。两组分别为前路组(n = 20)和后路组(n = 20)。前路组和后路组疗效的影响进行统计分析,两组一般资料包括:患者性别、年龄、身体质量指数、受累节段、吸烟史及既往史等。结果:术前资料:两组患者年龄,性别,身体质量指数,受累节段,既往史(心脑血管疾病、呼吸系统疾病、内分泌系统疾病、代谢性疾病及结核病史),吸烟史,饮酒史,腰部VAS评分,腰部ODI评分及JOA评分等指标均无统计学差异(P > 0.05)。两组患者术后1月和末次随访腰部VAS评分相比差异均无显著性意义(P > 0.05);两组患者术后3月腰部VAS评分相比差异有显著性意义(P 0.05)。两组患者术后发生硬脊膜撕裂、下肢肌间静脉血栓、下肢深静脉血栓、切口感染、窦道形成及术后复发率相比差异均无显著性意义(P > 0.05),上述数据结果提示两种手术安全性方面无差异。前路组手术时间为121.50 ± 54.63,后路组为111.75 ± 49.84,后路组手术时间明显少于前路组组,两组间差异有统计学意义(t = 0.590, P > 0.05);后路组术中出血量为197.50 ± 92.95,前路组为314.00 ± 131.76,后路组术中出血量明显少于前路组,两组间差异有统计学意义(t = 3.231, P 0.05)。结论:前路手术和后路手术在治疗脊柱感染性疾病时,均被视为有效的治疗方式选择。这两种手术方法各有其特点,但它们在安全性和疗效性上并无显著的差异。Objective: To compare the clinical effects of anterior and posterior surgery in the treatment of thoracolumbar tuberculosis. Methods: The clinical data of 40 patients receiving anterior and posterior treatment for thoracolumbar infectious disease from January 2021 to June 2023 were collected for retrospective study. Patients were divided into two groups according on the two different procedures. The two groups were anterior group (n = 20) and posterior group (n = 20). The effect of efficacy in the anterior and posterior groups was analyzed statistically. General data in the two groups included patient gender, age, body mass index, affected segments, smoking history and past history. Results: preoperative data: two groups of patient’s age, gender, body mass index, affected segments, past history (cardiovascular and cerebrovascular disease, respiratory diseases, endocrine system disease, metabolic disease and tuberculosis history), smoking history, drinking history, waist VAS score, waist ODI score and JOA score are no statistical difference (P > 0.05). No difference in lumbar VAS scores between 1 month and last follow-up (P > 0.05);the difference between lumbar VAS scores was significant (P 0.05). There were no significant differences in dural tear, intermuscular venous thrombosis, deep vein thrombosis, incision infection, sinus formation and postoperative recurrence rate (P > 0.05). The above data suggest no difference in the safety of the two procedures. The operation time was 121.50 ± 54.63, 111.75 ± 49.84, posterior and less (t = 0.590, P > 0.05);197.50 ± 92.95, and 314.00 ± 131.76 in the anterior group (t = 3.231, P 0.05). Conclusion: Both anterior surgery and posterior surgery are considered as effective treatment options in the treatment of spinal infections. These two surgical methods each have their own characteristics, but there is no significant difference in their safety and efficacy.展开更多
布鲁氏菌病是由布氏杆菌引起的一种严重的人畜共患传染的变态反应性疾病,该病是一种全身性疾病,可累及多个器官,具有传染性强,传播范围广的特点。布鲁氏菌性脊柱炎(brucellar spondylitis)是布氏杆菌侵犯脊柱导致的感染性脊柱炎性疾病,...布鲁氏菌病是由布氏杆菌引起的一种严重的人畜共患传染的变态反应性疾病,该病是一种全身性疾病,可累及多个器官,具有传染性强,传播范围广的特点。布鲁氏菌性脊柱炎(brucellar spondylitis)是布氏杆菌侵犯脊柱导致的感染性脊柱炎性疾病,其主要临床表现为顽固性腰痛、局部压痛叩击痛、发热、多汗、全身乏力、肝、脾及淋巴结肿大等症状,若影响神经可出现下肢的疼痛和麻木,甚至有可能截瘫。临床中对该病的诊断和治疗缺乏统一的认识,笔者回顾近年相关文献,对布鲁氏菌性脊柱炎的流行病学、临床表现、实验室检查、影像学表现,诊断标准、鉴别诊断及治疗进展综述如下。Brucellosis is a severe zoonotic allergic disease caused by Brucella, which is a systemic disease that can affect multiple organs and has the characteristics of strong contagiousness and wide spread. Brucella spondylitis is an infectious spinal inflammatory disease caused by Brucella invasion of the spine, the main clinical manifestations are intractable low back pain, local tenderness, percussion pain, fever, sweating, malaise, liver, spleen and lymph node swelling and other symptoms, if the nerves are affected, pain and numbness of the lower limbs may occur, and even paraplegia may occur. The author reviews the relevant literature in recent years, and reviews the epidemiology, clinical manifestations, laboratory tests, imaging findings, diagnostic criteria, differential diagnosis and treatment progress of Brucella spondylitis as follows.展开更多
文摘Treatment was given to 30 cases of abdominalgia due to spinal irritation through the manipulation of spine adjustment. The method was used to relax muscle and tendons of spine and restore the normal spinal vertebral position by rotating the processus spinosus, and pressing the spine to correct the spinal articulation. Among the 30 cases, the symptoms were absent in 19 cases after only one treatment, 2 after 2 treatments and 3 after 3 treatments. The method is to restore the normal order of spinal articulation and reobtain a balance of spine by eliminating the stimulation and oppression of radix nervorum spinalium and sympathetic nerve from disorder anterior foramina vertebra.
文摘目的:比较前路与后路手术治疗胸腰椎结核的临床效果。方法:收集2021年1月至2023年6月在我院收住接受前路和后路治疗的40例胸腰椎感染性疾病患者的临床资料进行回顾性研究。根据两种术式不同,将患者分为两组。两组分别为前路组(n = 20)和后路组(n = 20)。前路组和后路组疗效的影响进行统计分析,两组一般资料包括:患者性别、年龄、身体质量指数、受累节段、吸烟史及既往史等。结果:术前资料:两组患者年龄,性别,身体质量指数,受累节段,既往史(心脑血管疾病、呼吸系统疾病、内分泌系统疾病、代谢性疾病及结核病史),吸烟史,饮酒史,腰部VAS评分,腰部ODI评分及JOA评分等指标均无统计学差异(P > 0.05)。两组患者术后1月和末次随访腰部VAS评分相比差异均无显著性意义(P > 0.05);两组患者术后3月腰部VAS评分相比差异有显著性意义(P 0.05)。两组患者术后发生硬脊膜撕裂、下肢肌间静脉血栓、下肢深静脉血栓、切口感染、窦道形成及术后复发率相比差异均无显著性意义(P > 0.05),上述数据结果提示两种手术安全性方面无差异。前路组手术时间为121.50 ± 54.63,后路组为111.75 ± 49.84,后路组手术时间明显少于前路组组,两组间差异有统计学意义(t = 0.590, P > 0.05);后路组术中出血量为197.50 ± 92.95,前路组为314.00 ± 131.76,后路组术中出血量明显少于前路组,两组间差异有统计学意义(t = 3.231, P 0.05)。结论:前路手术和后路手术在治疗脊柱感染性疾病时,均被视为有效的治疗方式选择。这两种手术方法各有其特点,但它们在安全性和疗效性上并无显著的差异。Objective: To compare the clinical effects of anterior and posterior surgery in the treatment of thoracolumbar tuberculosis. Methods: The clinical data of 40 patients receiving anterior and posterior treatment for thoracolumbar infectious disease from January 2021 to June 2023 were collected for retrospective study. Patients were divided into two groups according on the two different procedures. The two groups were anterior group (n = 20) and posterior group (n = 20). The effect of efficacy in the anterior and posterior groups was analyzed statistically. General data in the two groups included patient gender, age, body mass index, affected segments, smoking history and past history. Results: preoperative data: two groups of patient’s age, gender, body mass index, affected segments, past history (cardiovascular and cerebrovascular disease, respiratory diseases, endocrine system disease, metabolic disease and tuberculosis history), smoking history, drinking history, waist VAS score, waist ODI score and JOA score are no statistical difference (P > 0.05). No difference in lumbar VAS scores between 1 month and last follow-up (P > 0.05);the difference between lumbar VAS scores was significant (P 0.05). There were no significant differences in dural tear, intermuscular venous thrombosis, deep vein thrombosis, incision infection, sinus formation and postoperative recurrence rate (P > 0.05). The above data suggest no difference in the safety of the two procedures. The operation time was 121.50 ± 54.63, 111.75 ± 49.84, posterior and less (t = 0.590, P > 0.05);197.50 ± 92.95, and 314.00 ± 131.76 in the anterior group (t = 3.231, P 0.05). Conclusion: Both anterior surgery and posterior surgery are considered as effective treatment options in the treatment of spinal infections. These two surgical methods each have their own characteristics, but there is no significant difference in their safety and efficacy.
文摘布鲁氏菌病是由布氏杆菌引起的一种严重的人畜共患传染的变态反应性疾病,该病是一种全身性疾病,可累及多个器官,具有传染性强,传播范围广的特点。布鲁氏菌性脊柱炎(brucellar spondylitis)是布氏杆菌侵犯脊柱导致的感染性脊柱炎性疾病,其主要临床表现为顽固性腰痛、局部压痛叩击痛、发热、多汗、全身乏力、肝、脾及淋巴结肿大等症状,若影响神经可出现下肢的疼痛和麻木,甚至有可能截瘫。临床中对该病的诊断和治疗缺乏统一的认识,笔者回顾近年相关文献,对布鲁氏菌性脊柱炎的流行病学、临床表现、实验室检查、影像学表现,诊断标准、鉴别诊断及治疗进展综述如下。Brucellosis is a severe zoonotic allergic disease caused by Brucella, which is a systemic disease that can affect multiple organs and has the characteristics of strong contagiousness and wide spread. Brucella spondylitis is an infectious spinal inflammatory disease caused by Brucella invasion of the spine, the main clinical manifestations are intractable low back pain, local tenderness, percussion pain, fever, sweating, malaise, liver, spleen and lymph node swelling and other symptoms, if the nerves are affected, pain and numbness of the lower limbs may occur, and even paraplegia may occur. The author reviews the relevant literature in recent years, and reviews the epidemiology, clinical manifestations, laboratory tests, imaging findings, diagnostic criteria, differential diagnosis and treatment progress of Brucella spondylitis as follows.
