Continual irrigation of tuberculosis lesions in patients with spinal tuberculosis complicated by paravertebral abscess

Abstract

Abstract: Objective To assess the therapeutic efficacy of continual irrigation of tuberculosis lesions in patients with spinal tuberculosis complicated by paravertebral abscess. Methods A total of 60 patients with spinal tuberculosis complicated by paravertebral abscess had been admitted to our hospital from September 2013 to November 2017. All the patients were randomly divided into a study group and a control group. The 30 patients in the study group were treated with continual irrigation of lesions, while the 30 patients in the control group received conventional drainage for treatment. The two groups of patients were compared in terms of mean body temperature within 7 days after the operation, postoperative complications as well as pre- and post-operative erythrocyte sedimentation rate (ESR) . Results The body temperature of the study group decreased gradually within 7 days after the operation, while the body temperature of the control group showed fluctuation within 7 days after the operation. The body temperature of the study group was lower than that of the control group, and the difference was statistically significant (P<0.05). The body temperature showed no significant difference between the two groups at different time points (P>0.05). The pre-operative ESR showed no significant difference between the two groups (P>0.05). At post-operative d 20, the ESR of both groups decreased significantly, compared with that before the operation (P<0.01), while the difference between the two groups showed no statistical significance (P>0.05). The incidence of postoperative complications in the study group was significantly lower than that in the control group (3.33% vs 26.67%, P<0.05). Conclusion Continual irrigation of tuberculosis lesions in patients with spinal tuberculosis complicated by paravertebral abscess can effectively reduce the body temperature of patients within 7 days after operation and the incidence of postoperative complications, which should be promoted for wider clinical application.

Key words: Spinal tuberculosis, Paravertebral abscess, Lesion, Continual irrigation, Therapeutic efficacy

YUAN Shan-you, MA Ke, LUO Zi-yi. Continual irrigation of tuberculosis lesions in patients with spinal tuberculosis complicated by paravertebral abscess[J]. Electronic Journal of Emerging Infectious Diseases, 2018, 3(1): 41-44.

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