| 后路截骨式病灶清除钛笼植骨融合术治疗胸腰椎结核的疗效分析 |
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| 引用本文： | 段平国,林思俭,范荣豪,郭润生,马胜彪,段满生,姚浩群,张斌,戴闽,曹凯. 后路截骨式病灶清除钛笼植骨融合术治疗胸腰椎结核的疗效分析[J]. 中国临床医学, 2022, 29(6): 976-981 |
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| 作者姓名： | 段平国 林思俭 范荣豪 郭润生 马胜彪 段满生 姚浩群 张斌 戴闽 曹凯 |
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| 作者单位： | 1. 南昌大学第一附属医院骨科;2. 南昌大学第二附属医院康复科 |
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| 基金项目： | 江西省卫生计生委科技计划项目(20185103,20191029) |
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| 摘 要： | 目的 探讨后路截骨式病灶清除钛笼植骨融合术治疗胸腰椎结核的临床疗效及安全性。方法 回顾性分析2014年3月至2018年11月在南昌大学第一附属医院骨科接受手术治疗的96例胸腰椎结核患者的资料，其中29例接受截骨式病灶清除钛笼植骨融合术（截骨组），67例接受刮除式病灶清除植骨融合术（刮除组）。记录两组患者的手术时间、术中出血量、住院时间、术后并发症；术后随访患者的血沉、C反应蛋白、视觉模拟评分（visual analog scale, VAS）、日本骨科协会（Japanese Orthopaedic Association, JOA）评分与Oswestry功能障碍指数（Oswestry disability index, ODI）评分；影像学评估局部Cobb角和植骨融合情况。结果 截骨组手术时间为（186.0±39.6）min，较刮除组[（207.6±75.8）min]缩短（P=0.043）；截骨组术中出血量为（903.0±88.9）mL，较刮除组[（1 094.1±265.1）mL]减少（P=0.028）。两组患者住院时间[（9.7±1.3）d vs (10.0±1.1)d]和局部Co...
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| 关 键 词： | 胸腰椎结核 截骨术 清除 脊椎融合 |
| 收稿时间： | 2022-08-06 |
| 修稿时间： | 2022-10-02 |
Analysis of posterior debridement with osteotomy and titanium mesh bone graft fusion in the treatment of thoracolumbar tuberculosis |
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| DUAN Ping-guo,LIN Si-jian,FAN Rong-hao,GUO Run-sheng,MA Sheng-biao,DUAN Man-sheng,YAO Hao-qun,ZHANG Bin,DAI Min,CAO Kai. Analysis of posterior debridement with osteotomy and titanium mesh bone graft fusion in the treatment of thoracolumbar tuberculosis[J]. Chinese Journal Of Clinical Medicine, 2022, 29(6): 976-981 |
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| Authors: | DUAN Ping-guo LIN Si-jian FAN Rong-hao GUO Run-sheng MA Sheng-biao DUAN Man-sheng YAO Hao-qun ZHANG Bin DAI Min CAO Kai |
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| Affiliation: | Department of Spinal Surgery, orthopedic hospital, the First Affiliated Hospital of Nanchang University,Department of Rehabilitation, the Second Affiliated Hospital of Nanchang University,Department of Spinal Surgery, orthopedic hospital, the First Affiliated Hospital of Nanchang University,Department of Spinal Surgery, orthopedic hospital, the First Affiliated Hospital of Nanchang University,Department of Spinal Surgery, orthopedic hospital, the First Affiliated Hospital of Nanchang University,Department of Spinal Surgery, orthopedic hospital, the First Affiliated Hospital of Nanchang University,Department of Spinal Surgery, orthopedic hospital, the First Affiliated Hospital of Nanchang University,Department of Spinal Surgery, orthopedic hospital, the First Affiliated Hospital of Nanchang University,Department of Spinal Surgery, orthopedic hospital, the First Affiliated Hospital of Nanchang University,Department of Spinal Surgery, orthopedic hospital, the First Affiliated Hospital of Nanchang University |
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| Abstract: | |
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| Keywords: | Thoracolumbar tuberculosis Osteotomy Debridement Spinal fusion |
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