摘要
目的：评价前路病灶清除、植骨和u形钛板同定治疗腰骶段脊柱结核的临床疗效。方法：2002年8月～2004年11月间采用前路病灶清除、植骨和U形钛板固定治疗腰骶段脊柱结核患者26例，其中，持续性下腰痛20例，伴有下肢放射痛12例，回顾性分析患者的临床资料和手术效果。结果：术中无大血管破裂、神经损伤等严重并发症发生。术后所有病例腰腿痛症状基本消失，9例术后3～7d出现腹胀不适，1例出现逆行射精。随访6-24个月，平均14个月，患者6个月以后均达骨性融合，随访1年无结核病灶复发，无钛板折断、拔钉、断钉等并发症。结论：前路病灶清除、植骨和U形钛板固定治疗腰骶段脊柱结核是一种简便易行且稳定性可靠的手术方法。
Objective：To evaluate the method and outcome of debridement,bone graft and fixation with U shape titanium plate in treating lumbar and sacrum spinal tuberculosis.Method：A total of twenty-six cases with lumbosacrum spinal tuberculosis treated surgically were reviewed retrospectively.Among these,continuous low back pain（LBP） in 20 cases and LBP accomplied by pain radiating to low extremity in 12 cases.Result： The back and leg pain symptom relieved satisfactorily,no complication occured during intra-operation and postoperation.There were 9 cases felt windy after operation and 1 case came out retrograde ejeculation.All cases were followed up for 6 to 24 months,with the average of 14 months,and all had evidence of solid bony fusion in 6 months.No compication such as tuberculosis recurrence and intenal fixation failure were observed. Conclusion：The surgical treatment of lumbosacrum spinal tuberculosis with debridement,bone graft and fixation with U shape titanium plate has ensured outcome.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2005年第12期729-731,共3页
Chinese Journal of Spine and Spinal Cord
关键词
骑跨钛板
腰骶椎
结核
病灶清除
植骨
U shape titanium plate
Lumbosacrum
Tuberculosis
Debridment
Bone graft
