椎间孔镜盘内活检在胸腰椎感染疾病中的应用

发布时间：2018-03-21 18:03

本文选题：椎间孔镜　切入点：活组织检查　出处：《重庆医学》2017年36期 　论文类型：期刊论文

【摘要】：目的探索椎间孔镜盘内活检在胸腰椎感染疾病中的应用。方法将该院在2014年5月至2015年5月收治的胸腰椎感染患者84例,按照术式的不同,分为微创诊疗组41例及传统方法组43例。微创诊疗组采用椎间孔镜盘内活检联合经椎弓根椎体内药物灌注治疗,传统方法组采用传统的经皮穿刺、开放手术。观察两组不同的治疗效果。结果微创诊疗组的手术时间、术中出血量、术后下地时间、术后细菌培养阳性率、术后视觉模拟评分(VAS)均明显低于传统方法组,差异有统计学意义(P0.05)。术后随访1年,发现微创诊疗组的椎体高度丢失率、后凸畸形Cobb角及椎间隙狭窄也均明显低于传统方法组,差异有统计学意义(P0.05)。微创诊疗组对术式的总体满意度高达95.12%,显著优于传统方法组,差异有统计学意义(P0.05)。结论椎间孔镜盘内活检治疗胸腰椎感染疾病具有手术时间短、术中出血少、改善疼痛及下地快速的优势,且能有效避免术后椎体塌陷、椎间隙狭窄及后凸畸形等后遗症。
[Abstract]:Objective to explore the application of intervertebral foraminal disc biopsy in thoracolumbar infection. Methods 84 patients with thoracolumbar spine infection admitted in our hospital from May 2014 to May 2015 were divided into two groups. The minimally invasive diagnosis and treatment group (n = 41) and the traditional method group (n = 43) were divided into two groups: the minimally invasive group was treated with intervertebral foramen disc biopsy combined with transpedicular drug infusion, and the traditional method group was treated with traditional percutaneous puncture. Results the time of operation, the amount of blood lost during operation, the time of dropping ground after operation, the positive rate of bacterial culture after operation and visual analogue score (VASs) in the minimally invasive group were significantly lower than those in the traditional group. The results showed that the loss rate of vertebral body height, Cobb angle of kyphosis and intervertebral space stenosis in minimally invasive treatment group were significantly lower than those in traditional treatment group. The overall satisfaction of the minimally invasive diagnosis and treatment group was 95.12, which was significantly better than that of the traditional method group, and the difference was statistically significant (P 0.05). Conclusion the operative time for thoracolumbar infection is shorter in the treatment of thoracolumbar infection by intervertebral foraminal disc biopsy. The advantages of less intraoperative bleeding, improved pain and rapidity can effectively avoid the sequelae of vertebral collapse, intervertebral space stenosis and kyphosis.
【作者单位】：山东省济宁市第一人民医院脊柱外科;
【基金】：山东省济宁市科研项目(济科字[2016]56号-1)
【分类号】：R687.3

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