《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (09): 558-559.

• 骨科康复 • 上一篇    下一篇

多椎体结核的手术治疗

张银刚1; 汪兵2; 张文涛2; 姜海2; 郭雄1   

  1. 1.西安交通大学医学院地方病研究所 陕西西安市710061;2.西安市红十字会医院骨科 陕西西安市 710054
  • 收稿日期:2003-03-03 出版日期:2003-09-25 发布日期:2003-09-25

Operative treatment to spinal multi-level tuberculosis

ZHANG Yin-gang, WANG Bing, ZHANG Wen-tao,et al   

  1. Institute of Endemic Disease,Medical College of Xi′an Communications University, Xi′an 710061, Shanxi,China
  • Received:2003-03-03 Published:2003-09-25 Online:2003-09-25

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摘要： 目的探讨多椎体结核手术治疗效果。方法45例多椎体结核患者抗痨治疗3周,手术彻底清除病灶,行前方或侧前方椎体间植骨融合术,5例患者并行椎体前路内固定。结果45例获12—40个月随诊,术后5周内40例背部痛减轻,术后3周44例血沉与术前比较不同程度降低。38例后凸畸形的患者,畸形矫正90%,随访期内,仅有1例丢失度为3°。15例有神经损害的患者,都有1—2级(Frankel分级)的恢复。在随访期内,44例植骨融合,未复发。结论手术治疗多椎体结核效果满意。

关键词: 结核, 脊柱, 手术

Abstract: ObjectiveTo investigate the effect of operation treating spinal multi-level tuberculosis.Methods45 patients with multi-level spine tuberculosis were treated with debridement completely and anterior or lateral-anterior intervertebrae autograft. Of them, 5 patients added to anterior instrumentation.Results45 patients had been followed up for 12 to 40 months.The back pain of 40 cases were relieved within 5 weeks after operation, erythrocyte sedimentation rate decreased 3 weeks after operation. 38 patients who involved in kyphosis decreased their kyphosis mostly and only one patient lost 3 degrees in follow-up.15 patients who involved in neurological deficits improved one or two grades (Frankel). Grafts fused in 44 patients and there were no recurrent in follow-up.Conclusions Operative treatment is efficacious to multi-level body spine tuberculosis.

Key words: tuberculosis, spine, operation