椎旁肌间隙入路与开放手术治疗腰椎结核的疗效比较

发布时间：2018-01-16 11:52

本文关键词：椎旁肌间隙入路与开放手术治疗腰椎结核的疗效比较　出处：《临床医药文献电子杂志》2016年45期 　论文类型：期刊论文

【摘要】：目的对比经椎旁肌间隙入路手术与常规开放手术治疗腰椎结核的疗效。方法选取2010年9月~2015年9月郑州大学第一附属医院收治的腰椎结核患者50例,分为经椎间隙入路手术组27例和后正中切口入路组23例。统计并对比两组的手术时间、手术的出血量、手术前后视觉模拟评分法(VAS)评分、引流量、Oswestry功能障碍指数(Oswestry disability index,ODI)。结果随访患者8~23个月,平均13个月。手术时间、手术出血量、引流量、术后2周及末次随访视觉模拟评分法(VAS)评分经椎旁肌间隙入路手术组均优于开放手术组,差异有统计学意义(P0.05);两治疗组的手术前后ODI差值对比,差异无统计学意义(t=1.101,P=0.276)。结论与后正中手术切口的常规开放性手术相比,经椎旁肌间隙入路治疗腰椎结核中出血、术后引流液较少,术后疼痛轻,创伤小,恢复快。
[Abstract]:Objective to compare the efficacy of transparaspinal approach and conventional open surgery in the treatment of lumbar tuberculosis. Methods from September 2010 to September 2015, 5 patients with lumbar tuberculosis were treated in the first affiliated Hospital of Zhengzhou University. 0 cases. The patients were divided into two groups: 27 cases in the transvertebral space approach group and 23 cases in the posterior median incision approach group. The operation time, blood loss, visual analogue score before and after operation were compared and compared between the two groups. The index of Oswestry dysfunction was Oswestry disability index. Results the patients were followed up for 8 ~ 23 months. The mean operation time, blood loss, drainage volume, visual analogue score (VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-VAS-@@. The difference was statistically significant (P 0.05). The difference of ODI between the two groups before and after operation was not statistically significant. Conclusion compared with the conventional open operation of posterior median surgical incision, the difference between the two groups is not statistically significant. There is less drainage, less postoperative pain, less trauma and quick recovery in the treatment of lumbar tuberculosis bleeding through paraspinal muscle space approach.
【作者单位】：郑州大学第一附属医院;河南省高等学校临床医学重点学科开放性实验室;
【分类号】：R687.3
【正文快照】： 脊柱结核是一种常见感染性疾病,目前随着人口的快速增长,耐药菌的出现,其发病率有所回升。脊柱结核以椎体破坏、椎旁脓肿形成、脊柱后凸畸形、压迫脊髓为特征[1-3],常规手术取后正中切口,对椎旁肌的剥离范围较大,对其周围肌肉等组织损伤较大,使局部抗感染能力降低,增加了术后

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