多椎体结核的手术治疗 |
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引用本文: | 张银刚,汪兵,张文涛,姜海,郭雄.多椎体结核的手术治疗[J].中国康复理论与实践,2003,9(9):558-559. |
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作者姓名: | 张银刚 汪兵 张文涛 姜海 郭雄 |
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作者单位: | 1. 710061,陕西西安市,西安交通大学医学院地方病研究所 2. 710054,陕西西安市,西安市红十字会医院骨科 |
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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。 3 8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。
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关 键 词: | 结核 脊柱 手术 |
文章编号: | 1006-9771(2003)09-0558-02 |
修稿时间: | 2003年3月3日 |
Operative treatment to spinal multi-level tuberculosis |
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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. |
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Keywords: | tuberculosis spine operation |
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