Hang Lin, Haibier Abuduwupuer, Kayierhan Aiben, Liu Yuntao, Abudurexiti Tuerhongjiang
Minimally Invasive Spinal Surgery, Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, People's Republic of China.
Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, People's Republic of China.
Infect Drug Resist. 2024 Dec 4;17:5375-5386. doi: 10.2147/IDR.S495231. eCollection 2024.
To compare the efficacy of anterior and posterior surgery for thoracolumbar tuberculosis disease.
Clinical data of 30 patients with thoracolumbar tuberculosis disease undergoing anterior and posterior surgery from January 2021 to December 2023 were collected for a retrospective study. According to the two surgical procedures, patients were divided into two groups: 1) anterior group (n=15) and 2) posterior group (n=15). We compared the two groups regarding age, gender, body mass index, affected segments, past history (cardiovascular and cerebrovascular diseases, respiratory diseases, endocrine system diseases, metabolic diseases, and tuberculosis history), smoking history, drinking history, operation time, postoperative bleeding, postoperative drainage, postoperative time, postoperative complications (dural tear, lower limb intermuscular vein thrombosis, lower limb deep vein thrombosis, sinus infection, postoperative recurrence rate), and waist VAS score before and after surgery, waist ODI score, and JOA score.
The intraoperative blood loss was significantly less in the posterior group than in the anterior group, and the difference was significant (P <0.05); the lumbar VAS score was lower in the posterior group than in the anterior group, and the difference between the two groups was significant (P <0.05). The analysis of the remaining data showed no significant difference between the two groups (P> 0.05), indicating that the efficacy of the two procedures was the same.
In the treatment of thoracolumbar tuberculosis disease, there is no significant difference in the clinical efficacy of anterior surgery and posterior surgery. Intraoperative bleeding in posterior surgery was less than in anterior surgery, but the latter showed a significant improvement in postoperative pain relief. Therefore, spinal surgeons should choose the corresponding surgical treatment according to the actual situation of the patient in order to maximize the efficacy.
比较胸腰椎结核疾病前后路手术的疗效。
收集2021年1月至2023年12月行前后路手术的30例胸腰椎结核患者的临床资料进行回顾性研究。根据两种手术方式，将患者分为两组：1）前路组（n = 15）和2）后路组（n = 15）。我们比较了两组患者的年龄、性别、体重指数、受累节段、既往史（心血管和脑血管疾病、呼吸系统疾病、内分泌系统疾病、代谢性疾病和结核病史）、吸烟史、饮酒史、手术时间、术后出血、术后引流、术后时间、术后并发症（硬脊膜撕裂、下肢肌间静脉血栓形成、下肢深静脉血栓形成、窦道感染、术后复发率）以及手术前后的腰部视觉模拟评分（VAS）、腰部功能障碍指数（ODI）评分和日本骨科学会（JOA）评分。
后路组术中出血量明显少于前路组，差异有统计学意义（P <0.05）；后路组腰部VAS评分低于前路组，两组间差异有统计学意义（P <0.05）。其余数据的分析显示两组间无显著差异（P>0.05），表明两种手术方式的疗效相同。
在胸腰椎结核疾病的治疗中，前路手术和后路手术的临床疗效无显著差异。后路手术术中出血少于前路手术，但前路手术在术后疼痛缓解方面有显著改善。因此，脊柱外科医生应根据患者的实际情况选择相应的手术治疗方法，以最大限度地提高疗效。
