【摘要】 目的探讨一期手术在胸腰椎结核外科治疗中的临床疗效。方法自2004年2月~2007年5月,一期手术治疗胸腰椎结核22例,其中胸椎9例,行前路径胸病灶清除、植骨融合,内固定。腰椎结核13例,先行后路椎弓螺钉固定,在经前路行病灶清除、植骨融合。结果19例得到随访,随访时间3~24个月,18例植骨融合良好,红细胞沉降率正常,无复发。1例术后3个月复发。结论一期手术治疗胸腰椎结核,可以缩短病程,提高疗效,减轻患者的痛苦,节省费用。更多还原

【Abstract】 Objective To evaluate the clinical efficacy of one-stage surgical management for thoracic and lumbar spinal tuberculosis.Methods Twenty-two cases of thoracic and lumbar spinal tuberculosis were treated surgically by one-stage procedure from February 2004 to May 2007,including anterior resection interbody autografting and anterior instrumentatrion in 9 cases and posterior instrumentation and anterior resection plus interbody autografting in 13 cases.Results Nineteen patients were followed up for 3 to 24 months.In 18 cases,spinal fusion was satisfactory,erythrocyte sedimentation rate was normal and no recurrence was found.Recurrence occurred in one case one month after operation.Conclusion One-stage surgical management for thoracic and lumbar spinal tuberculosis can shorten course of diseases,enhance curative effectiveness,alleviate suffering,and economize expenses.更多还原