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目的评价布氏菌性脊柱炎患者接受微创手术治疗的临床效果,总结相关治疗方法,为今后的临床治疗提供帮助与指导。方法 21例布氏菌性脊柱炎患者(其中脊柱破坏较大,椎体失稳6例行开放手术)。15例患者均接受C型臂X线机引导下经皮经椎弓根穿刺微创手术进行治疗,同时配合接受药物冲洗化疗。对患者进行6~12个月的随访,详细记录患者的全身情况、切口愈合情况、腰部疼痛情况、术后感染的发生率等情况,据此对本次微创手术的效果进行全面的评估。结果 15例患者的手术效果均令人满意。15例患者行CT检查骨愈合情况良好,病灶吸收消失。腰部疼痛症状完全消失12例、3例基本消失。无继发性感染等问题。结论布氏菌性脊柱炎患者接受微创手术治疗效果安全、确切,因而具有广泛应用于临床的价值。
Objective To evaluate the clinical effects of minimally invasive surgical treatment of patients with spore-forming spondylitis, summarize the related treatment methods, and provide help and guidance for future clinical treatment. Methods Twenty-one patients with brucellosis spondylitis (including greater spondylolisthesis and 6 vertebral instability) underwent open surgery. Fifteen patients underwent C-arm X-ray guided percutaneous trans-pedicle biopsy and minimally invasive surgery with drug flushing chemotherapy. The patients were followed up for 6 to 12 months. The patient’s systemic condition, wound healing, waist pain and the incidence of postoperative infection were recorded in detail. Based on this, the effect of this minimally invasive surgery was evaluated comprehensively. Results The results of 15 cases of patients were satisfactory. 15 cases of patients underwent CT examination of bone healing in good condition, the absorption of the lesions disappear. Waist pain symptoms disappeared completely in 12 cases, 3 cases disappeared. No secondary infection and other issues. Conclusions The minimally invasive surgery for brucellosis patients with spondylitis is safe, accurate and therefore has a wide range of clinical value.