【摘要】 目的　探讨胸腰椎结核病灶清除,一期前路植骨钛板内固定的手术方法与疗效。方法　对1997年5月~2003年6月收治的23例胸腰椎结核患者,术前常规应用异烟肼、链霉素、利福平和乙胺丁醇四联抗痨治疗最少3周,并纠正贫血及低蛋白血症。血沉恢复正常或连续观察低于50mm/h后进行手术。采取病灶清除、一期前路植骨、“K”形钛板内固定。术后继续抗痨治疗10-12个月。结果　手术时间2-3 5h,平均2 6h。输血400~1200ml,平均600ml。伤口一期愈合,随访时间18 -61个月,植骨融合时间为4~9个月,平均6个月。5例截瘫患者均恢复,术后脊柱后凸角度平均矫正19°。结论　采取病灶清除、一期前路植骨钛板内固定治疗胸腰椎结核,具有矫正后凸畸形,稳定脊柱,并发症少,术后早期离床活动的优点。是较安全有效的治疗方法。更多还原

【Abstract】 Objective To evaluate the effect of surgical treatment of lumber tuberculosis by one stage of curettage and auto-grafting and anterior plate fixation.Methods Twenty three patients were treated during May of 1997 to June of 2003 in our hospital. Combine chemotherapy was delivered to each patient at least three weeks preoperatively. Surgery was performed by anterior approach and complete curettage and fixation with titanium plate. Post-chemotherapy should last ten to twelve months.Result All patients were followed-up for eighteen to sixty one months and grafts healed with four to nine months. No complications occurred. Five patients recovered from paraplegia. The average correction of kyphoscoliosis is 19°. Conclusion Treating lumber tuberculosis by one stage of curettage and grafting and anterior plate fixation is a good and safe method. Correction of kyhoscoliosis and stabling of spinal column achieved at the same time and patients were allowed for earlier weight bearing movement.更多还原