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脊柱结核病灶治愈型截瘫39例报告

Spinal tuberculosis with focus-healed paraplegia:39 cases report

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【作者】 秦世炳程宏林羽董伟杰

【Author】 QIN Shibing,CHENG Hong,LIN Yu,et al Beijing Tuberculosis and Thoracic Tumour Institute,Beijing,101149,China

【机构】 北京结核病胸部肿瘤研究所骨科北京骨关节结核诊疗中心北京结核病胸部肿瘤研究所骨科北京骨关节结核诊疗中心 101149北京市101149北京市101149北京市

【摘要】 目的:探讨脊柱结核病灶治愈型截瘫的诊断标准、治疗和预防。方法:回顾性分析39例经本院确诊为脊柱结核病灶治愈型截瘫患者的临床资料及治疗结果。结果:39例中有34例行手术治疗,其中19例完全恢复,10例部分恢复,4例无变化,1例加重;未手术5例均无明显改善。结论:脊柱结核病灶治愈型截瘫是结核治愈后的晚期并发症,有其本身的特性,手术治疗可取得较好效果。

【Abstract】 Objective:To explore diagnostic criterion,treatment method,prognosis and prevention of spinal tuberculosis with focus-healed paraplegia.Method:39 cases were analysed retrospectively who were hospitalized and treated in past 40 years,and were diagnosed definitely as spinal TB with focus-healed paraplegia.Result:Among 39 cases,34 cases were treated operatively,of whom paraplegia was completely recovered in 19 cases,partially recovered in 10,had no change in 4.Paraplegia had no amelioration when treated nonoperatively.Conclusion:Focus-healed paraplegia of spinal TB is a late complication after TB is healed.It has inherent feature and can be predicted and prevented.Operation is the mainly therapy and moderate anti-tuberculosis drugs should be given simultaneously.

【关键词】 脊柱结核截瘫
【Key words】 SpinalTuberculosisParaplegia
  • 【文献出处】 中国脊柱脊髓杂志 ,Chinese Journal of Spine and Spinal Cord , 编辑部邮箱 ,2004年08期
  • 【分类号】R687
  • 【被引频次】9
  • 【下载频次】76
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