目的分析研究应用前后路内固定手术对于治疗胸腰段脊柱结核患者的临床效果。方法选择我院收治的该类患者作为研究对象并进行分组研究，均应用病灶清除并植骨融合内固定进行治疗。A组行前路内固定术；B组行后路内固定术。两组再细分为累及单个椎体组(A1、B1组)和多个椎体组(A2、B2组)。将组间手术时间、出血量以及矫形率等情况进行对比。结果在手术时间以及术中出血量方面，A1组均显著低于B1组(<0.05)；在矫形率以及稳定性方面，B2组均显著优于A2组(<0.05)。结论针对该类疾病累及单个椎体的患者，其理想方案为前路内固定手术方式；而针对累及多个椎体患者，其理想方案为后路内固定术。针对患者的具体病情选择对应的治疗方案，对于促进患者尽快康复具有积极意义。%Objective To study application of anterior and posteriorfixation operation for clinical outcome in patients with treatment of thoracolumbar spinal tuberculosis. Methods In our hospital, the patients were grouped as the object of study and research, both the application of debridement and fusion with internal fixation and bone graft for treatment. A group underwent anterior internalfixation; B group underwent posterior internal fixation. Two groups were then subdivided into single vertebrae involved (A1 group, B1 group) and multiple vertebral group (group A2, B2). The groupoperation time, bleeding amount and correction rate werecompared. Results The operation time and the intraoperative bleeding, A1 group were significantly lower than that of B1 group ( <0.05); in the correction rate and stability, the B2 group was significantly bet er than the A2 group ( < 0.05). Conclusion Theinvolvement of this kind of disease in patients with single vertebral body, the ideal solution for fixed operation mode of anterior internal; while the involved multiple vertebral patients, the ideal solution for posterior internal fixation. Treatment options forpatients with specific conditions corresponding, to promote therecovery of patients as soon as possible is of positive significance.
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