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胸腰段结核的手术治疗
引用本文:王培增,周风烨.胸腰段结核的手术治疗[J].实用骨科杂志,2000,6(2):76-78.
作者姓名:王培增  周风烨
作者单位:山东青州市401医院分院外科
摘    要:目的:探讨胸腰段结核的手术治疗,以提高胸腰段结核的手术治愈率。方法:1991年1月至1999年1月,我院共实施胸腰段结核手术34例,其中前路病灶清除兼椎间植骨融合术32例,后路病灶清除并横突间植骨融合术2例。结果:术后对所有病人进行了0.5 ̄6.5年,平均3.5年的随访,手术优良率为94.1%。结论:多数胸腰段结核适合于前路病灶清除术Ⅰ期椎间植骨融合术,部分可以选用后路病灶清除并Ⅰ期横突间植骨融合

关 键 词:胸腰椎  结核  手术治疗

Surgical Treatment of Tuberculosis of The Thoracic and Lumbar Spine.
Wang Peizeng,Zhou Fengyan,Su Wei,et al..Surgical Treatment of Tuberculosis of The Thoracic and Lumbar Spine.[J].Journal of Practical Orthopedics,2000,6(2):76-78.
Authors:Wang Peizeng  Zhou Fengyan  Su Wei  
Institution:Wang Peizeng,Zhou Fengyan,Su Wei,et al.Department of Surgery,Qingzhou Branch of The 401th Hospital,PLA.Shandong,262500.
Abstract:Objective:To study surgical techniques for tuberculosis of the thoracic and lumbar spine for improving results for the patients undergoing surgical treatment.Method:Thirty-four patients with tuberculosis of the thoracic and lumbar spine undewent radical debridement and spinal fusion between January 1991 and January 1999. Anterior radical debridement and fusion were performed in 32 patients and posterior radical debridement and posterolateral spinal fusion were performed in 2 patients.Results:All patients were followed up from 0.5 to 6.5 years (mean 3.5 years) postoperatively.The execllent and good results were 94.10%.Conclusion:Radical debridement and spinal fusion by anterior approaches are strongly recommended to treat patients with tuberculosis of the thoracic and lumber spine.
Keywords:Thoracic and lumbar spine  Tuberculosis  Operative treatment
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