《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (08): 781-784.

• 论文 • 上一篇    下一篇

脊柱前路病灶清除植骨融合内固定术对脊柱结核患者生活质量的影响

苏安平，杨成天，张华文，杨乾滋，徐德钢，钱文旭，马维栋   

  1. 甘肃省武威肿瘤医院，甘肃武威市733000。
  • 收稿日期:2012-10-23 修回日期:1900-01-01 出版日期:2013-08-25 发布日期:2013-08-25

Quality of Life for Tuberculosis Patients after Anterior Debridement, Autograft Bone Fusion and Anterolateral Fixation Operation

SU An-ping, YANG Cheng-tian, ZHANG Hua-wen, et al.   

  1. Wuwei Tumour Hospital of Gansu Province, Wuwei 733000, Gansu, China
  • Received:2012-10-23 Revised:1900-01-01 Published:2013-08-25 Online:2013-08-25

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被引次数

8

摘要： 目的探讨脊柱前路病灶清除植骨融合内固定术对脊柱椎体结核患者生活质量、腰椎功能及疼痛的影响。方法收集2008 年1 月~2011 年3 月，采用脊柱前路病灶清除植骨融合内固定术治疗胸腰椎结核患者17 例，术前、术后1 个月和术后6 个月采用健康调查简表(SF-36)、日本骨科学会下腰椎评分(JOA 腰椎功能评价-29 分法)、视觉模拟评分(VAS)对患者的生活质量、腰部功能、疼痛改善状况等进行对比分析。结果17 例患者SF-36 中生理功能(PF)、生理职能(RP)、躯体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)、情感职能(RE)、精神健康(MH)、JOA主观症状、JOA临床体征、JOA日常活动受限、VAS评分术后6 个月较术后1 个月、术前相比均改善(P<0.05)；PF、BP、GH、VT、SF、MH、JOA主观症状、JOA临床体征、JOA日常活动受限、VAS评分术后1 个月与术前相比均改善(P<0.05)。结论行脊柱前路病灶清除植骨融合内固定术可以有效改善患者的生活质量、腰椎功能及减轻疼痛。

关键词: 脊柱, 结核, 生活质量, 疼痛

Abstract: Objective To evaluate the quality of life for tuberculosis patients after anterior debridement, autograft bone fusion and anterolateral fixation operation. Methods 17 cases of thoracolumbar spinal tuberculosis were treated surgically from January 2008 to March 2011. All the cases underwent anterior debridement, autograft bone fusion and anterolateral fixation operation. MOS health survey 36-item Short Form (SF-36), Japanese Orthopaedic Association Scores (JOA) and Visual Analogue Scale (VAS) were used to evaluate the quality of life, spine function and pain symptom before and 1 and 6 months after surgery. Results Compared to the results 1 month after surgery, the scores of physical function (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social function (SF), role emotional (RE), and mental health (MH), and JOA subjective symptoms, JOA clinical signs, and JOA daily activity limitation, and VAS improved (P<0.05) 6 months after surgery; compared to pretreatment, the scores of PF, BP, GH, VT, SF, and MH, and JOA subjective symptoms, JOA clinical signs, and JOA daily activity limitation, and VAS improved (P<0.05). Conclusion The anterior debridement, autograft bone fusion and anterior fixation operation is effective to improve the quality of life, spine function and pain symptom for tuberculosis patients.

Key words: spine, tuberculosis, quality of life, pain