一期前后路联合手术治疗胸腰椎结核 |
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引用本文: | 何轩,王飞,左茂廷,邓佳林.一期前后路联合手术治疗胸腰椎结核[J].中国当代医药,2011,18(1):19-20. |
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作者姓名: | 何轩 王飞 左茂廷 邓佳林 |
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作者单位: | 重庆市江津区中心医院骨科脊柱病区,重庆,402260 |
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摘 要: | 目的:探讨胸腰椎结核一期前后方融合、后路内固定治疗的临床疗效。方法:28例胸腰椎结核患者采用一期前路或侧前方入路病灶清除、植骨,后路椎弓根螺钉固定。结果:平均手术时间为190min,出血量为800~1500ml,植骨融合时间为3~16个月。术后均无神经症状加重,术后切口一期愈合,术后12~18个月停用抗结核药物无复发。结论:采用一期前后方融合后路内固定治疗胸腰椎结核,能有效地清除病灶,重建脊柱稳定性,促进植骨融合并能为截瘫恢复创造良好条件。
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关 键 词: | 胸腰椎 脊柱结核 内固定 植骨融合 |
One stage anterior and posterior fusion and posterior fixation for the treatment of thoracic and lumbar spinal tuberculosis |
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Authors: | HE Xuan WANG Fei ZUO Maoting DENG Jialin |
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Institution: | (Department of Orthopaedics,the People’s Hospital of Jiangjin District,Chongqing 402260,China) |
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Abstract: | Objective:To evaluate the clinical effect of one stage anterior and posterior fusion and posterior fixation for the treatment of thoracic and lumbar spinal tuberculosis.Methods:A total of 28 patients with thoracolumbar tuberculosis were treated with anterior focus clearance and bone graft and posterior approach pedicle internal fixation.Results:The average operation time was 190 min,blood loss was 800-1 500 ml.After operation,spinal fusion was achieved in all the cases within 3-16 months on average.All patients,no progress of neurological,no formation of sinus tractor fistulae.12-18 months postoperative antituberculotic was taken out of service,and no recurrence.Conclusion:One stage anterior and posterior fusion and posterior fixation can effectually resect focus,rebuild stability of spine,promote interbody fusion and recovery of incomplete paraplegia in treating thoracic and lumbar spinal tuberculosis. |
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Keywords: | Thoraco lumbar Tuberculosis of spine Internal fixators Bone graft fusion |
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