本文選題：椎間孔鏡　切入點：活組織檢查　出處：《重慶醫(yī)學(xué)》2017年36期 　論文類型：期刊論文

【摘要】：目的探索椎間孔鏡盤內(nèi)活檢在胸腰椎感染疾病中的應(yīng)用。方法將該院在2014年5月至2015年5月收治的胸腰椎感染患者84例,按照術(shù)式的不同,分為微創(chuàng)診療組41例及傳統(tǒng)方法組43例。微創(chuàng)診療組采用椎間孔鏡盤內(nèi)活檢聯(lián)合經(jīng)椎弓根椎體內(nèi)藥物灌注治療,傳統(tǒng)方法組采用傳統(tǒng)的經(jīng)皮穿刺、開放手術(shù)。觀察兩組不同的治療效果。結(jié)果微創(chuàng)診療組的手術(shù)時間、術(shù)中出血量、術(shù)后下地時間、術(shù)后細菌培養(yǎng)陽性率、術(shù)后視覺模擬評分(VAS)均明顯低于傳統(tǒng)方法組,差異有統(tǒng)計學(xué)意義(P0.05)。術(shù)后隨訪1年,發(fā)現(xiàn)微創(chuàng)診療組的椎體高度丟失率、后凸畸形Cobb角及椎間隙狹窄也均明顯低于傳統(tǒng)方法組,差異有統(tǒng)計學(xué)意義(P0.05)。微創(chuàng)診療組對術(shù)式的總體滿意度高達95.12%,顯著優(yōu)于傳統(tǒng)方法組,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論椎間孔鏡盤內(nèi)活檢治療胸腰椎感染疾病具有手術(shù)時間短、術(shù)中出血少、改善疼痛及下地快速的優(yōu)勢,且能有效避免術(shù)后椎體塌陷、椎間隙狹窄及后凸畸形等后遺癥。
[Abstract]:Objective to explore the application of intervertebral foraminal disc biopsy in thoracolumbar infection. Methods 84 patients with thoracolumbar spine infection admitted in our hospital from May 2014 to May 2015 were divided into two groups. The minimally invasive diagnosis and treatment group (n = 41) and the traditional method group (n = 43) were divided into two groups: the minimally invasive group was treated with intervertebral foramen disc biopsy combined with transpedicular drug infusion, and the traditional method group was treated with traditional percutaneous puncture. Results the time of operation, the amount of blood lost during operation, the time of dropping ground after operation, the positive rate of bacterial culture after operation and visual analogue score (VASs) in the minimally invasive group were significantly lower than those in the traditional group. The results showed that the loss rate of vertebral body height, Cobb angle of kyphosis and intervertebral space stenosis in minimally invasive treatment group were significantly lower than those in traditional treatment group. The overall satisfaction of the minimally invasive diagnosis and treatment group was 95.12, which was significantly better than that of the traditional method group, and the difference was statistically significant (P 0.05). Conclusion the operative time for thoracolumbar infection is shorter in the treatment of thoracolumbar infection by intervertebral foraminal disc biopsy. The advantages of less intraoperative bleeding, improved pain and rapidity can effectively avoid the sequelae of vertebral collapse, intervertebral space stenosis and kyphosis.
【作者單位】： 山東省濟寧市第一人民醫(yī)院脊柱外科;
【基金】：山東省濟寧市科研項目(濟科字[2016]56號-1)
【分類號】：R687.3

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本文編號：1644955