Retrospective Analysis and Experience of Chief Physician Deng Qiang in Differentiating and Treating Thoracolumbar Tuberculosis
Objective:To retrospectively analyze and summarize the clinical effect and experience of the combination of Chinese and Western medicine in differentiating and treating thoracolumbar spinal tuberculosis by chief physician Deng Qiang.Methods:Medical records of 47 patients with thoracolumbar spine tuberculosis hospitalized in Gansu Provincial Hospital of Traditional Chinese Medicine from June 1,2016 to September 31,2020 were retrospectively analyzed,they adopted therapeutic regimen:quadruple antituberculosis drugs(rifampicin capsules,isoniazid tablets,ethambutol capsules,pyrazinamide capsules)orally+internal fixation by posterior thoracolumbar debridement with pedicle screws + syndrome differentiation and treatment during perioperative period combined with perioperative functional exercises.To observe blood sedimentation,Cobb angle,spinal cord neurological function classification(ASIA classification),VAS scores,clinical effects and the incidence of the complications two weeks,one month,three,six,twelve and eighteen months after the operation,and to explore chief physician Deng Qiang's experience in differentiating and treating the disease by the proven cases.Results:The patients'blood sedimentation and VAS scores were(8.45±2.11)mm/h and(1.55±1.31)points eighteen months after the operation respectively,lower than(48.55±6.14)mm/h and(6.12±1.23)points two weeks after the surgery(P＜0.05);Cobb angle and ASIA classification eighteen months after the operation were higher than these two weeks after the operation;total effective rate eighteen months after the operation was 97.9%(46/47),higher than 66.1%(31/47)two weeks after the operation;one patient suffered caudal chipping of surgical incision of about two cm after doing heavy work without purulent secretion six months after the operation,and it healed normally after debridement,suturing and changing the dressing;eighteen months after the operation,one patient appeared internal fixation fracture accompanied by deformation of the spine,and operated again.Conclusion:Oral administration of quadruple antituberculosis drugs + internal fixation with pedicle root nails for thoracolumbar posterior lesion removal + perioperative supplementation of deficiency and cultivation of vital energy combined with resolving phlegm and clearing collaterals can improve the clinical symptoms,signs and ASIA grading of patients with tuberculosis of the thoracolumbar spine.
tuberculosis,thoracolumbarthe integration of traditional Chinese and Western medicineexperienceDeng Qiang
万方数据
维普
