[1]王洪波,叶尔江·达哈尔,金格勒,等.脊柱结核术后复发因素的作用强度对比分析[J].第三军医大学学报,2009,31(20):1955-1959.
 WANG Hong-bo,YEERJIANG·Dahaer,JIN Ge-le,et al.Risk factors of postoperative recurrence of spinal tuberculosis: a comparative analysis on 486 cases[J].J Third Mil Med Univ,2009,31(20):1955-1959.
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脊柱结核术后复发因素的作用强度对比分析(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
31卷
期数:
2009年第20期
页码:
1955-1959
栏目:
专题报道
出版日期:
2009-10-30

文章信息/Info

Title:
Risk factors of postoperative recurrence of spinal tuberculosis: a comparative analysis on 486 cases
作者:
王洪波叶尔江·达哈尔金格勒买尔旦郭海龙普拉提盛伟斌
新疆医科大学第一附属医院脊柱外科;新疆阿勒泰地区哈医医院处科
Author(s):
WANG Hong-bo YEERJIANG·Dahaer JIN Ge-le MAI Er-dan GUO Hai-long PU La-ti SHENG Wei-bin
Department of Spinal Surgery, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, Department of Surgery, Kazak Hospital, Altay 836500, Xinjiang China
关键词:
脊柱结核手术复发危险因素作用强度
Keywords:
spinal tuberculosis surgery recurrence risk factors strength
分类号:
R195.4;R529.2;R619
文献标志码:
A
摘要:
目的   探讨脊柱结核术后复发因素的作用强度。   方法   将1998年1月至2007年12月因脊柱结核在我院行手术治疗,并进行1~3年随访的患者486例,按照时间分为2组:第1组,1998-2002年收治患者,共129例,34例复发患者临床资料与同期95例未复发患者的临床资料进行对比;第2组,2003-2007年收治患者,共357例,27例复发患者临床资料与同期330例未复发患者临床资料进行对比。应用统计学方法比较各组患者的营养状况、病灶范围、手术清除是否彻底、术前术后是否正规用药、术后患者是否能严格制动,对比分析导致脊柱结核术后复发各危险因素的作用强度。   结果   第1组,术后患者是否能严格制动为作用强度最大的影响因素。而对于第2组,术前术后是否正规用药为作用强度最大的影响因素。   结论   目前在遵循现有的脊柱结核基本治疗原则上,应该加强患者药物治疗,才能更有效的控制脊柱结核的术后复发。
Abstract:
Objective   To analyse explore the importance of the risk factors of the strength of postoperative recurrence risk factors in of spinal tuberculosis.    Methods   Totally 486 patients suffering from spinal tuberculosis and receiveding surgery from January 1998 to December 2007 in our department were subjected. They were  followed up for 1 to 3 years and divided into 2 groups according to time course. Group 1 (n=129) was the  patients treated during the period of 1998 to 2002, including 34 cases with recurrence and 95 without, and group 2 (n=357) were the patients operated from 2003 to 2007, including 27 case with recurrence and 330 without. We compared their clinical data, such as the nutrition, the extent of lesions, whether clearing the lesion surgically, whether having formal pre- and post-operative medication,drug therapy, and whether strictly stayed in bed after surgery. At last, we analyzed the importance of these risk factors of postoperative recurrence of spinal tuberculosis.    Results   In group 1, whether strictly stay in bed after surgery was the strongest risk factor. In group 2, whether having preope-rative drug therapy was the strongest risk factor.    Conclusion   We should strengthen drug therapy, and then, the postoperative recurrence of spinal tuberculosis could be controlled.

参考文献/References:

王洪波, 叶尔江·达哈尔, 金格勒, 等. 脊柱结核术后复发因素的作用强度对比分析[J]. 第三军医大学学报,2009,31(20):1955-1959.

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更新日期/Last Update: 2009-10-21