不同内固定方式治疗胸腰椎结核疗效比较-外科学(骨外)专业论文.docxVIP

7 7 E, 2 of 3 cases from Class C to Class E, the other one to Class D, and one case from Class B to Class E. The cure rate of each group after operation was 83.3%, 77.8%, and 80% respectively. All the patients had bony fusion at the end of followed-up. The fusion time of group A was 3 to 13 months with an average of 7.2 months; the fusion time of group B was 4 to 10 months with an average of 6.6 months, the fusion time of group C was 3 to 12 months with an average of 7.0 months. For the evaluation of postoperative chest and back pain and postop activities, group A had 35 excellent, 13 good and 3 fair with a fineness rate of 94.1%. Group B had 16 excellent, 5 good and 2 fair with a fineness rate of 91.3%. Group C had 15 excellent, 3 good and 1 fair with a fineness rate of 94.7%. There were 18 patients had kyphosis in group A before surgery, and 10 and 7 patients in group B and C respectively. The preoperative average angle of kyphosis of each group was 27.4°, 34.2°, 34.7°，Within 1 week after operation, the average angle correction value of each group was 12.4°, 20.8°, 21.7°.In group A, surgical incisions of all cases had stage I healing; with three recurrent cases and one case of femoral nerve paralysis after surgery which recovered one year after. In group B, one case had sinus tract before surgery which was cured 9 months after surgery. Other patients in group B had surgical incision stage I healing. One case in group B had postop bilateral psoas abscess and was cured after CT guided psoas abscess aspiration and lavage. All surgical incisions in group C had stage I healing. There were two recurrent cases in group C were cured after receiving a secondary operation. Conclusion : No matter which surgical procedure was chose, the surgical purposes are always the same, i.e. to effectively remove disease and to reconstruct spinal stability. Anyway, the choice of any surgical procedures should always base on patients’ own conditions Keywords : thoracolumbar tuberculosis;