CT引导下经皮穿刺置管微创治疗脊柱结核

目的：评价CT引导下经皮穿刺介入治疗脊柱结核的临床效果。方法：2008年3月～2010年1月,在全身应用抗结核药物及支具外固定的基础上,通过CT引导对所收治的31例脊柱结核患者,经皮穿刺置管灌注引流和持续局部抗结核药物冲洗病灶。结果：所有病例均未发生手术并发症,经过20～72d的置管持续灌注引流及局部灌注抗结核药物治疗,随访5～28个月,定期X线与CT检查显示,全部患者的病灶均愈合,病变无复发。结论：CT引导下经皮穿刺置管化疗技术,是一种操作简便、安全有效的微创治疗脊柱结核的方法。

The treatment of spinal tuberculosis with percutaneous intubation and irrigation under CT guidance

Objective：To evaluate the clinical efficacy of percutaneous treatment of spinal tuberculosis under CT guidance.Methods：31 patients with spinal tuberculosis were treated with percutaneous intubation,irrigation and continuous focal anti-tuberculosis perfusion under CT guidance between March 2008 and January 2009.All patients wore a brace and were given chemotherapy.Results：No complication was detected.All patients were cured of tuberculosis lesions in spine or on other region.There was no recurrence after 5 months to 28 months follow-up.Conclusion：Percutaneous intubation and irrigation under CT guidance is an easy,safe,efficient and less invasive method for the treatment of spinal tuberculosis.