一期经椎弓根截骨病灶清除人工椎体置入及置管冲洗引流术治疗胸腰椎化脓性骨髓炎疗效分析Single-stage pedicle subtraction osteotomy debridement, nano-hydroxyapatite/polyamide 66 biocomposite artificial vertebral body implantation,tube-reserving rinsing and draining for treating pyogenic thoracolumbar osteomyelitis
郭伟;皇静文;卢和平;胡峰;黄德山;杨浩;杨志伟;熊成杰;丁州;
摘要(Abstract)：
[目的]通过病例回顾性分析研究,评价一期后路经椎弓根截骨病灶清除+n-HA/PA66复合生物材料人工椎体置入+置管冲洗引流术治疗胸腰椎化脓性骨髓炎的临床疗效。[方法]回顾性分析2012年10月~2015年8月本科收治并进行手术的胸腰椎化脓性骨髓炎(T_5~S_1)患者15例,平均年龄46.8岁。其中胸椎1例,胸腰段5例,腰椎8例,骶椎1例,对手术时间、术中出血量及手术前后Cobb角、VAS评分、CRP、ESR、融合时间等进行统计,评价手术治疗的效果及远期疗效。[结果]15例患者均得到随访,随访时间6~24个月,平均15个月,所有患者均无神经功能损伤等严重并发症。手术时间平均(183±12.5)min,术中出血量平均(1 050±80.5)ml;术前与术后3个月比较Cobb角无明显变化(P>0.05),术前术后VAS评分、ESR等差异均有统计学意义(P<0.05)。[结论]一期后路经椎弓根截骨病灶清除+n-HA/PA66复合生物材料人工椎体置入+置管冲洗引流治疗胸腰椎化脓性骨髓炎可以有效的清除病灶,感染复发率低,植骨融合率高,是一种安全、有效的方法。
关键词(KeyWords)： 一期;经椎弓根截骨;病灶清除;胸腰椎化脓性骨髓炎;复合生物材料人工椎体
基金项目(Foundation):
作者(Author): 郭伟;皇静文;卢和平;胡峰;黄德山;杨浩;杨志伟;熊成杰;丁州;
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DOI:
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