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自1975年1月~1993年1月共收治脊柱结核245例,其中经前路病灶清除同时椎间植骨融合34例(A组),一次或多次病灶清除后二期后路融合72例(B组)。结果表明,术后早期(6~12个月)优良率A组为87.3%,B组为75.4%;术后晚期(>2年)优良率A组达95.2%,B组为81.8%。术后至开始锻炼的时间A组平均为97d,而B组则为204d。平均住院天数A组为41d,B组为86d。在2年以上的随访病例中,脊柱后凸畸形的变化A组由术前的平均33°降至27°,而B组则由术前的平均29°增至47°。两组术后晚期腰背痛的发生率A组19.0%,B组为69.7%。临床结果显示,经前路病灶彻底清除椎间植骨融合较一期病灶清除二期后路融合有明显的优越性
From January 1975 to January 1993 a total of 245 cases of spinal tuberculosis were treated, including anterior debridement and interbody fusion in 34 cases (group A), one or more lesions after the second phase posterior fusion of 72 cases (Group B). The results showed that in the early postoperative period (6 ~ 12 months), the excellent and good rate was 87.3% in group A and 75.4% in group B, 95.2% in group A and 95.2% in group B The group was 81.8%. The time from postoperative to initial exercise was 97 days in group A and 204 days in group B, respectively. The average length of stay in group A was 41 days and in group B 86 days. In more than two years of follow-up, the change of kyphosis in group A decreased from an average of 33 ° before surgery to 27 ° in group A, and increased to 47 ° in group B from an average of 29 ° preoperatively. The incidence of late postoperative low back pain was 19.0% in group A and 69.7% in group B, respectively. Clinical results show that the anterior lesion complete removal of interbody fusion is better than the first stage of clear fusion after the road fusion has obvious advantages