前、后入路内固定术治疗胸腰椎结核的疗效观察

摘要

Objective To explore the clinical effects of anterior and posterior internal ifxation in the treatment of thoracolumbar tuberculosis. Methods 20 cases of thoracolumbar tuberculosis patients depending on the access approach were divided into study group and control group with 10 cases in each group, the control group were treated with anterior path internal ifxation, the study group were treated with posterior path internal fixation. Results The operative time, blood loss, Cobb angle correction, length of stay and hospital costs of patients in study group compared with control group, had differences that were not statistically signiifcant (P>0.05), but signiifcantly lower than control group on the incidence of complications (P<0.05). Conclusion The two operations both have good surgical effects, but posterior internal ifxation has fewer complications, the speciifc surgical approach should be chosen on the condition of patients.%目的探讨前、后入路内固定术治疗胸腰椎结核的临床疗效。方法20例胸腰椎结核患者根据不同的入路方式分为研究组和对照组，每组10例，对照组患者采用前入路内固定术，研究组采用后入路内固定术。结果研究组患者的手术时间、术中出血量、Cobb角矫正、住院时间以及住院费用与对照组比较，差异无统计学意义（P＞0.05），但研究组并发症的发生率低于对照组（P＜0.05）。结论两种术式均有较好的手术效果，但后入路内固定术并发症少，具体应根据患者的病情选择不同的手术方式。