Clinical study on the reasons for retreating postoperative spinal tuberculosis#br#

doi:10.3969/j.issn.10073205.2016.03.004

Abstract

Abstract: [
Abstract ] Objective To summarizethe reasonsforretreating postoperative spinal
tuberculosis ( TB ) .Methods Twenty-threepatientswithpostoperativerecurrenceofspinalTB
(
observationgroup ) and186patientswithnorecurrenceofspinalTB (
controlgroup ) were
studiedretrospectively.Theclinicaldatabetweentwogroupswerecomparedandthecorrelation
factorsofretreatingspinalTBwerestatisticallyanalyzed.Results Theincidenceofnutrition ,
degreeofdebridement , graftbonefusion , postoperationalchemotherapyintheobservationgroup
werelowerthanthoseinthecontrolgroup.Theincidenceofdrugresistance , TBatotherparts ,
adverseconditionsintheobservationgroupweresignificantlyhigherthanthoseinthecontrol
group ( P <0.01 ) .Multiplelogisticregressionanalysisrevealedthatpreoperativeserumalbumen
level ( <35g / L ), nothavingstandardizedpostoperationalchemotherapy , nothavingcompletely
debridement , withoutfusion , drugresistance , TBatotherpartsandadverseconditionswerethe
riskfactorsofretreatingpostoperativespinalTB.Conclusion Theearlyandpositivetherapies
(
nutritionalsupportandanemiacorrection ), strengtheningtheanti-TBtreatmentatotherparts ,
complete debridement for lesions , graft bone fusion , standardized anti-TB treatment ,
strengtheningthepostoperativemanagement ( psoaspuncturewithdrewedeffusionandinjected
drug , controlofbloodglucose
) shouldbehelpfultoreduceretreatingrateofpostoperativespinal
tuberculosis.

Key words: tuberculosis, spinal , recurrence , riskfactor

YAO Li-ming1, ZHAO Qian2, JIA Chen-guang1*,LIU Feng-sheng1, LI Zhuo1, DONG Zhao-liang1. Clinical study on the reasons for retreating postoperative spinal tuberculosis#br#[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2016.03.004.

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Clinical study on the reasons for retreating postoperative spinal tuberculosis#br#

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