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Objective To evaluate the assisted thoracic small incision and traditional open before the efficacy of surgical treatment of thoracic tuberculosis. Methods A retrospective analysis in May 1998 to May 2005, 110 cases of thoracic tuberculosis surgery. A group of 58 patients, and assisted thoracic small incision technique, 35 males and 23 females. Age 19-63 years, mean age 39.2 ± 4.1 years. Segmental lesions involving the T4-12, 38 patients with spinal cord nerve damage, fusion preoperative kyphosis angle was 29.2 ± 4.5 ° (18 ° -42 °). Group B, 52 cases, line traditional anterior open surgery, 28 males and 24 females. Aged 19-65 years, average age 37.6 ± 4.5 years. Segmental lesions involving the T4-12. 33 patients with spinal cord injury, the fusion segments preoperative kyphosis angle average 30.3 ± 1.5 ° (19 ° -45 °). All patients underwent follow-up of 2 years. VAS pain score to evaluate the preoperative and postoperative chest and back pain level. Use the SUK standard preoperative and postoperative lateral radiographs and Bending bit-slice assessment of fusion. Frankel grade to assess nerve function. The two groups were compared using statistical software SPSS13.0 perioperative parameters, complications, nerve function, lung function, upper limb function after surgery, chest and back pain VAS score, clinical excellent rate, relapse rate, imaging parameters. Result the thoracoscopy small incision group, the average blood loss, chest drainage, chest pain duration and length of hospital stay is less than the open group, The statistical test, P <0.05; mean operative time and clinical excellent rate, and time to extubation no difference between the two groups, P> 0.05; between the two groups before surgery, the fusion segments after 1 week and after 2 years of follow-up of correction of kyphosis angle comparison, no difference of statistical tests, P> 0.05; two groups kyphosis angle of correction group preoperative and postoperative was statistically different, P <0.01; nervous system involvement of Group A (38 cases) and group B (n = 33) patients were improved to some extent. A group of postoperative complications in 18 cases, the incidence of 31%; B group postoperative complications in 27 cases, the incidence was 51.9%, statistically different, P <0.05; respectively after by the 2-year follow-up, no recurrence within fixation failure and significant loss of correction, and interbody fusion. Obvious advantages in appearance as well as the comparison of the length of stay of surgical incisions, thoracoscopic group. Chest and back pain to ease very satisfactory in both groups, no significant difference (P> 0.05). Conclusion assisted thoracic small incision anterior thoracic tuberculosis reconstructive surgery, you can get the same effect with traditional open surgery while reducing trauma, bleeding and chest drainage and chest pain duration, duration of hospitalization and the incidence of complications, and can reduce surgery after recent surgery of the upper limb dysfunction, clinical application is relatively safe and effective.
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