用最小侵入性和开放技术治疗背和腰椎脊柱结核病的结果:一个前性比较研究
Syed Ifthekar1,2, Kaustubh Ahuja1, Samarth Mittal1,3
1Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand India.
Indian journal of orthopaedics
|May 2, 2024
概括
脊柱结核的最小侵入性手术 (MIS) 提供了比开放式手术更好的立即缓解疼痛. 然而,开放技术提供了优越的形纠正,对于这两种方法来说,具有类似的长期功能结果.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 传染性疾病 传染性疾病
- 整形外科 整形外科 整形外科
背景情况:
- 脊柱结核 (STB) 需要有效的手术治疗.
- 微创手术 (MIS) 和开放技术的比较对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较微创手术 (MIS) 与背脊和腰椎脊柱结核病的开放手术技术的疗效和结果.
主要方法:
- 一项比较研究包括42名骨成熟患者,他们有活跃的STB.
- 患者被分为两个组:MIS (n=18) 和开放式手术 (n=24).
- 对所有参与者进行了至少24个月的随访.
主要成果:
- MIS组的血液损失显著减少 (234毫升与742毫升相比),手术后立即VAS得分更好 (5.26与7.08).
- 开放式手术组表现出明显更好的阴影纠正 (33.25°对比16°).
- 在手术持续时间,整体VAS,ODI得分或仪器水平方面没有发现显著差异.
结论:
- 与开放技术相比,STB的MIS改善了手术后立即疼痛得分.
- 在2年的随访中,MIS显示了与开放技术相比的功能结果.
- 开放技术在STB中更好地纠正阴影,MIS可能与并发症有关.
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