A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients.

IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES
Abuduwufuer Tailaiti, Zhihao Zhao, Tuerhongjiang Abudurexiti, Aikeremujiang Muheremu
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引用次数: 0

Abstract

Spinal tuberculosis (TB) remains a significant global health concern, necessitating the development of innovative treatment strategies. This clinical study aimed to evaluate the efficacy and safety of endoscopic debridement as a minimally invasive approach for treating paravertebral abscesses in patients with spinal tuberculosis. A total of 52 patients diagnosed with paravertebral tuberculosis abscesses were enrolled in this retrospective study. Patients were assigned to two groups: the endoscopic debridement group (n = 30) and the conventional open surgery group (n = 22), based on the type of surgery they received. Clinical outcomes were assessed at baseline, post-treatment, and follow-up visits at regular intervals, including surgery time, intraoperative blood loss, total hospital stay duration, pain relief, and neurological improvement. The results of this study demonstrate that endoscopic debridement is a highly effective treatment for paravertebral abscesses in patients with spinal TB. Patients in the endoscopic debridement group experienced significant improvements in surgery time, intraoperative blood loss, total hospital stay duration, pain relief, and neurological improvement compared to those in the conventional open surgery group. Additionally, the endoscopic approach resulted in fewer complications, such as wound infections and postoperative instability, with no cases of recurrence observed during the follow-up period. Therefore, this clinical study highlights the potential of endoscopic debridement as a safe and effective treatment modality for spinal tuberculosis. The technique not only effectively eliminates infected tissue but also ensures faster patient recovery and reduces postoperative complications. Additional research and long-term follow-up studies are necessary to confirm the long-term effectiveness and safety of endoscopic debridement as the standard treatment for spinal tuberculosis.

内窥镜手术治疗脊柱结核患者椎旁脓肿的回顾性研究
脊柱结核(TB)仍然是全球关注的重大健康问题,因此有必要开发创新的治疗策略。这项临床研究旨在评估内窥镜清创术作为微创方法治疗脊柱结核患者椎旁脓肿的有效性和安全性。这项回顾性研究共纳入了52名确诊患有椎旁结核脓肿的患者。根据患者接受的手术类型,将其分为两组:内窥镜清创组(30 人)和传统开放手术组(22 人)。临床结果在基线、治疗后和定期随访时进行评估,包括手术时间、术中失血量、总住院时间、疼痛缓解和神经功能改善情况。这项研究结果表明,内窥镜清创术是治疗脊柱结核患者椎旁脓肿的一种非常有效的方法。与传统开放手术组相比,内窥镜清创组患者在手术时间、术中失血量、总住院时间、疼痛缓解和神经功能改善方面均有显著改善。此外,内窥镜方法减少了伤口感染和术后不稳定等并发症,随访期间未发现复发病例。因此,这项临床研究凸显了内窥镜清创术作为一种安全有效的脊柱结核治疗方法的潜力。该技术不仅能有效清除受感染的组织,还能确保患者更快康复并减少术后并发症。有必要进行更多的研究和长期跟踪研究,以确认内窥镜清创术作为脊柱结核标准治疗方法的长期有效性和安全性。
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来源期刊
Jove-Journal of Visualized Experiments
Jove-Journal of Visualized Experiments MULTIDISCIPLINARY SCIENCES-
CiteScore
2.10
自引率
0.00%
发文量
992
期刊介绍: JoVE, the Journal of Visualized Experiments, is the world''s first peer reviewed scientific video journal. Established in 2006, JoVE is devoted to publishing scientific research in a visual format to help researchers overcome two of the biggest challenges facing the scientific research community today; poor reproducibility and the time and labor intensive nature of learning new experimental techniques.
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