目的:研究单纯后路手术治疗胸腰段脊柱结核的临床疗效及安全性。方法:选取84例胸腰段脊柱结核确诊患者作为本次研究对象,根据随机数表法分为对照组与研究组,每组各42例。对照组在2周抗结核治疗后给予前路脊柱手术治疗;观察组在2周抗结核治疗后采用后路脊柱手术。统计比较两组患者的平均手术时间、术中出血量、住院时间、视觉模拟评分(visual analogue scale/score,VAS)、日本骨科学会颈椎病疗效评定标准(Japanese orthopaedic association scores for assessment of cervical myelopathy,JOA)评分、Cobb’s角、临床疗效以及术后并发症的发生率。结果:观察组平均手术时间、术中出血量以及住院时间相较于对照组缩短,差异有统计学意义(P<0.05);观察组VAS及JOA评分优于对照组患者,差异有统计学意义(P<0.05);治疗前,两组后凸Cobb’s角差异无统计学意义(P>0.05);术后,后凸Cobb’s角均有改善,且观察组后凸Cobb’s角矫正效果更佳,差异有统计学意义(P<0.05);观察组的临床疗效95.24%,优于对照组7...
【英文摘要】
Objective:To study the clinical efficacy and safety of posterior spinal surgery in the treatment of thoracolumbar spine tuberculosis.Methods:84 cases of patients with thoracolumbar spine tuberculosis were selected as the subjects.According to the random table method,84 cases were divided into two group,each group had 42 cases.Patients in control group were given anterior spinal surgery after 2 weeks of anti-tuberculosis treatment,patients in observation group were given posterior spinal surgery after 2 week...
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