期刊论文

The Clinical Effect of One-stage Surgery in Treating Active Tuberculosis of Thoracic and Lumbar Spinevia Combined Anterior and Posterior Approach

中文

中国现代手术学杂志

1009-2188

2014

18

5

346-349

10.16260/j.cnki.1009-2188.2014.05.008

本校为第一机构

目的 总结一期经前后联合手术入路治疗胸腰椎活动性结核的临床疗效.方法 回顾分析2007年1月～ 2012年12月收治的21例活动性脊柱结核患者的临床资料,包括男性8例,女性13例,平均年龄25.8(5 ～66)岁.结核病变位于胸椎12例(57.1％),后凸角度平均51.5°(30°～81°);胸腰段4例(19.0％),后凸角度平均56.8°(30°～ 80°);腰椎5例(23.8％),后凸角度平均23.6°(15°～34°).Frankel分级:B级2例,C级3例,D级7例,E级9例.3例患者括约肌功能受损,8例患者伴有轻重不一的神经根刺激症状.联合化疗2周以后,行一期后路内固定并后外侧融合、前路病灶清除、植骨融合术.结果 本组手术时间平均335(270～420) min,术中出...

dObjective To summarize the efficacy of the one-stage surgery （ including posterior internal fixation and anterior debridement, fusion procedure） for the treatment of active spinal tuberculosis. Methods From January 2007 to December 2012, a total of 21 consecutive patients with active spinal tuberculosis, included 8 males and 13 females, aged from 5 to 66 years, were enrolled in this retrospective study. The tuberculose focus located at thoracic vertebrae region in 12 cases with average kyphosis angle of 51.5°（ranged from 30° to 81°）, lo...