胸腰椎结核手术治疗

目的探讨胸腰椎结核手术治疗方法及疗效。方法对22例胸腰椎结核患者术前采用化疗抗结核,根据患者结核病灶位置,分别从胸椎、腰椎前路、后路彻底清除结核病灶,植骨融内固定。结果 22例均获得随访,时间18个月。胸腰椎结核无复发,结核中毒症状消失,疼痛缓解。神经功能Frankel分级:术前B级1例,C级11例,D级10例,术后恢复到E级21例,D级1例。结论在系统化抗结核治疗的基础上对有手术适应证的患者,采用手术清除结核病灶,可缓解神经症状,有效控制或治愈结核。

Surgical treatment of thoracolumbar spinal tuberculosis

Objective To study the methods and curative effect of surgical procedure for thoracolumbar spinal tuberculosis.Methods 22 cases of thoracolumbar spinal tuberculosis patients were treated by chemotherapy for anti-TB treatment before the operation.According to the site of thoracolumbar spinal tuberculosis,the individualized surgical treatment was used by anterior/posterior focus clearance and bone graft with internal fixation.Results All cases were followed up for 18 months postoperatively.No case had a relapse,all tuberculosis symptoms disappeared and the pain alleviated.The neural function from 1 case of Frankel B grade,11cases of Frankel C grade,and 10 cases of Frankel D grade improved to 21 cases of Frankel E grade and 1 case of Frankel D grade after the operation.Conclusions Individual operation with focus clearance based on systematic anti-TB treatment can alleviated the neurological symptoms,effectively control the development of tuberculosis.