[1]文磊 关宏刚△ 曹正霖 陈超 霍智铭 邓再冲.一期后路病灶清除植骨融合内固定术治疗胸椎结核24例[J].中国中医骨伤科杂志,2019,27(01):47-50.
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一期后路病灶清除植骨融合内固定术治疗胸椎结核24例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年01期
页码:
47-50
栏目:
临床报道
出版日期:
2019-01-15

文章信息/Info

文章编号:
1005-0205(2019)01-0047-04
作者:
文磊12 关宏刚1△ 曹正霖1 陈超1 霍智铭1 邓再冲12
1广东佛山市中医院(广东 佛山,528000) 2广州中医药大学研究生院
关键词:
胸椎结核 后路 后凸畸形 内固定
分类号:
R529.2
文献标志码:
B
摘要:
观察一期后路病灶清除植骨融合内固定术治疗胸椎结核的有效性及安全性。方法:回顾性分析24例不同节段胸椎结核患者:男13例,女11例; 胸椎后凸Cobb 角为19°~95°,平均34.00°±17.97°.CT 或MRI 显示均有明显的骨质破坏和不同程度脓肿形成。观察的指标包括手术情况、并发症、神经功能的恢复、后凸Cobb 角的矫正及植骨融合率。结果:所有病例均得到随访,平均随访时间(30.29±6.28)个月。平均手术时间(229.16±37.37)min,平均失血量(435.41±127.24)mL.末次随访后凸Cobb 角20.83°±13.34°,与术后比较丢失3.08°±1.29°.神经功能均得到不同程度改善。术后3个月内红细胞沉降率(ESR)恢复至正常水平。无严重并发症,所有患者均获得满意的植骨融合。结论:一期后路病灶清除植骨融合内固定术治疗胸椎结核,具有病灶清除及椎间植骨融合率满意,脊柱后凸畸形矫正良好,重建脊柱稳定的优势,用于临床治疗胸椎结核是安全可行的。

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备注/Memo

备注/Memo:
1广东佛山市中医院(广东 佛山,528000) 2广州中医药大学研究生院 通信作者 E-mail:572084855@qq.com
更新日期/Last Update: 2019-01-15