胸腰椎结核一期手术治疗的临床观察 |
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引用本文: | 张记恩,何晓兵,彭松明,刘克斌,黄圭. 胸腰椎结核一期手术治疗的临床观察[J]. 华中医学杂志, 2009, 33(6): 308-310 |
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作者姓名: | 张记恩 何晓兵 彭松明 刘克斌 黄圭 |
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作者单位: | 湖北省荆州市第一人民医院骨科,荆州,434000;湖北省荆州市第一人民医院骨科,荆州,434000;湖北省荆州市第一人民医院骨科,荆州,434000;湖北省荆州市第一人民医院骨科,荆州,434000;湖北省荆州市第一人民医院骨科,荆州,434000 |
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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。
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关 键 词: | 结核 胸腰椎 病灶清除 内固定 |
Clinical observation of one-stage surgical management for thoracic and lumbar spinal tuberculosis. |
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Affiliation: | ZHANG Jien, HE Xiaobing , PENG Songming , et al.(Department of Orthopaedics, The First Hospital of Jingzhou, Jingzhou 434000, China) |
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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 proce- dure 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 man- agement for thoracic and lumbar spinal tuberculosis can shorten course of diseases, enhance curative effectiveness, alleviate suf7 feting, and economize expenses. |
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Keywords: | Tuberculosis Thoracolumbar spine Debridement Internal fixation |
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