本文選題：脊柱結(jié)核　切入點：鈦網(wǎng)支撐　出處：《廣西醫(yī)科大學(xué)》2013年碩士論文

【摘要】：目的進(jìn)一步探討脊柱結(jié)核病灶清除鈦網(wǎng)支撐植骨內(nèi)固定的療效。 方法回顧性分析42例脊柱結(jié)核患者,其中20例患者采用病灶清除鈦網(wǎng)支撐植骨內(nèi)固定治療,同期22例患者采用病灶清除骨塊支撐植骨內(nèi)固定治療,對兩組患者手術(shù)前后視覺模擬評分、手術(shù)前后病變節(jié)段椎間前緣高度變化情況、術(shù)后畸形矯正情況、植骨融合情況、脊柱結(jié)核治愈情況進(jìn)行了隨訪觀察和統(tǒng)計學(xué)比較。 結(jié)果所有患者術(shù)后隨訪20-56個月,平均35.5個月,所有患者結(jié)核無復(fù)發(fā),手術(shù)切口均甲級愈合,兩組患者末次隨訪時視覺模擬評分與術(shù)前比較有明顯改善,兩組間比較無統(tǒng)計學(xué)意義(P0.05),術(shù)后末次隨訪時后凸角度、病變節(jié)段椎間前緣高度與術(shù)前比較有明顯矯正和恢復(fù),兩組間比較無統(tǒng)計學(xué)意義(P0.05),兩組患者植骨融合時間比較差異有顯著性(P0.05),兩組患者的脊柱結(jié)核均治愈。 結(jié)論對術(shù)中存在1個以上椎體病損的脊柱結(jié)核鈦網(wǎng)支撐植骨療效滿意,與傳統(tǒng)骨塊支撐相比療效一樣,但植骨融合時間明顯縮短,支持患者早期下床活動,有利于患者術(shù)后護(hù)理及康復(fù)治療,但術(shù)中要注意鈦網(wǎng)置放位置,掌握好鈦網(wǎng)植骨范圍。
[Abstract]:Objective to investigate the effect of titanium mesh support bone graft fixation for spinal tuberculosis.Methods 42 patients with spinal tuberculosis were retrospectively analyzed, 20 of them were treated with debridement and titanium mesh supported bone graft fixation, and 22 patients were treated with debridement bone mass support and bone graft internal fixation at the same time.The visual analogue score before and after operation, the height change of the anterior edge of the diseased segmental vertebrae before and after operation, the correction of deformity, the fusion of bone graft and the cure of spinal tuberculosis were followed up and compared statistically between the two groups.Results all the patients were followed up for 20-56 months with an average of 35.5 months. There was no recurrence of tuberculosis in all patients and the incision healed in grade A. the visual analogue score of the two groups at the last follow-up was significantly improved compared with that before operation.There was no significant difference between the two groups (P 0.05). The kyphosis angle and the anterior height of the diseased intervertebral segment were significantly corrected and recovered after the last follow-up.There was no significant difference between the two groups (P 0.05). There was a significant difference in the time of bone grafting and fusion between the two groups. The spinal tuberculosis was cured in both groups.Conclusion the effect of titanium mesh support for spinal tuberculosis with more than one vertebral body lesion during operation is satisfactory, which is the same as that of traditional bone mass support, but the time of bone graft fusion is obviously shortened, which supports the patients to get out of bed early.It is beneficial to postoperative nursing and rehabilitation treatment, but attention should be paid to the position of titanium mesh during operation, and the range of titanium mesh bone graft should be grasped.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R687.3;R529.2

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 趙秀泉;劉玉琴;許俊嶺;;Ⅰ期病灶清除鈦網(wǎng)植骨內(nèi)固定治療胸腰椎結(jié)核[J];中國醫(yī)藥導(dǎo)刊;2010年12期

2 劉豐勝;石寶全;郭梅秀;趙靜茹;張國山;;一期前路手術(shù)矯正胸腰段脊柱結(jié)核后凸畸形[J];河北醫(yī)科大學(xué)學(xué)報;2008年06期

3 李宏偉;余方圓;馬遠(yuǎn)征;陳興;彭偉;;頸胸段脊柱結(jié)核的手術(shù)入路選擇[J];軍事醫(yī)學(xué)科學(xué)院院刊;2008年01期

4 王鵬翔;趙劍;趙敦炎;施紅光;顧德林;張?zhí)煲?;結(jié)核桿菌在不同內(nèi)固定材料表面粘附情況的實驗研究[J];交通醫(yī)學(xué);2007年01期

5 李廣海;鐘德和;肖莉;;單切口雙入路Ⅰ期前方融合+后路椎弓根固定治療胸段及胸腰段脊柱結(jié)核[J];江西醫(yī)藥;2008年12期

6 李偉;潘顯明;權(quán)毅;張波;鄧少林;;腰椎結(jié)核手術(shù)治療并發(fā)癥的分析[J];西南軍醫(yī);2010年04期

7 施建黨;王自立;丁惠強;趙浩寧;陳軍;;前后路聯(lián)合手術(shù)治療腰骶段脊柱結(jié)核的效果分析[J];寧夏醫(yī)學(xué)雜志;2009年03期

8 韓岳;胡永成;夏群;;Ⅰ期病灶切除植骨內(nèi)固定術(shù)治療脊柱結(jié)核[J];天津醫(yī)科大學(xué)學(xué)報;2010年02期

9 谷守山;李永民;王旭;李頡;;鈦網(wǎng)及同種異體骨植骨結(jié)合內(nèi)固定治療脊柱結(jié)核:23例隨訪驗證[J];中國組織工程研究與臨床康復(fù);2010年30期

10 張衛(wèi);姚女兆;王文軍;李平原;;一期前路病灶清除內(nèi)固定治療胸腰椎結(jié)核[J];中國醫(yī)學(xué)工程;2005年06期

，

本文編號：1716706