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一期后路病灶清除固定治疗胸腰椎结核 被引量:3

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摘要 目的探讨一期后路病灶清除、椎弓根钉内固定植骨融合术治疗胸腰椎结核的疗效。方法自2004年7月至2011年5月,笔者对32例胸腰椎结核进行了一期后路病灶清除椎弓根内固定植骨融合手术治疗。结果所有患者安全接受手术。术前Frankel分级:A级1例,B级5例,C级7例,D级10例,E级9例;术前矢状面后凸Cobb角平均为32.5°(5°~47°);术前C反应蛋白(C-reactive protein,CRP)为20~37mm/L,平均28.2mm/L。患者随访时间12~46个月,平均22.5个月。术后1年随访时Frankel评分,A级0例,B级0例,C级3例,D级8例,E级21例;后凸Cobb角平均12.3°(4°~20°),矫正率62%;CRP平均为6.2mg/L。术后全身症状消失,腰背疼痛症状明显改善,患者可从事一般工作及日常生活。结论一期后路病灶清除椎弓根钉内固定植骨融合术治疗胸腰椎结核创伤小、方法安全、疗效满意。
出处 《实用骨科杂志》 2013年第7期636-639,共4页 Journal of Practical Orthopaedics
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参考文献7

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