摘要
目的观察两种手术时机对脊柱结核并截瘫的疗效。方法采用一期病灶清除、植骨内固定术治疗脊柱结核并截瘫患者98例,按正规抗结核治疗不足或足3周后手术分为两组。比较其手术时间、术中出血量、手术前后Cobb角、截瘫恢复情况、住院时间等指标。结果两组均顺利手术,并获平均31.6个月的随访。手术时间、术中出血量比较差异无统计学意义(P>0.05)。手术前后Cobb角差异有统计学意义(P<0.01)。术后6个月随访Frankel分级均明显改善,住院时间比较差异均有统计学意义(P<0.01)。两组均无复发,术后4个月ESR恢复至正常。结论两种手术时机疗效均满意,而提早积极手术具有更好地抢救截瘫,缩短住院时间等优势。
Objective To compare the clinical efficacy of two different surgery timing for spinal tuberculosis with paraplegia.Methods A retrospective study was carried out for 98 patients with spinal tuberculosis and paraplegia treated surgically by a single stage procedure, including anterior resection or focus debridement and interbody autografting plus instrumentiont.It was allocated into two groups according formal anti-TB drugs less than or more than 3 weeks before surgery.Operation time,bleeding volume,Cobb angle before and after surgery, paraplegia recovery, hospitalization time, the total medical expenses were compared.Results All cases had been successfully operated and were followed up for an average of 31.6 months. No significant difference was found between two groups in mean time of operation and av- erage blood loss. Apparent improvement in postoperative kyphosis, Cobb angle before and after surgery, the difference was statistically sig- nificant. The restoration of paraplegia was clearly by the evaluation of Frankel classification after 6 months.There were significant differences between two groups in hospital time.The two groups had no relapse and after 4 months ESR returned to normal.Conclusion Both timing of operation can obtain the same satisfactory results for spinal tuberculosis with paraplegia, but the early surgery has adventages of paraplegia recovery, shorter hospital stay.
出处
《中国骨与关节损伤杂志》
2011年第3期206-208,共3页
Chinese Journal of Bone and Joint Injury
关键词
手术时机
脊柱结核
截瘫
疗效
对比
Operation time
Spinal tuberculosis
Paraplegia
Effect
Comparison
