摘要
目的 探讨前路病灶清除一期植骨钛钢板内固定治疗胸硬椎结核的疗效．方法 采用前路病灶清除。一期植骨内固定治疗胸腰椎结核患者32例。常规应用异烟肼、链霉素、利福平和乙胺丁陴四联抗痨治疗最少2周，并纠正贫血及低蛋白血痘。血沉恢复正常或连续观察低于50mm／h后进行前路瘸灶清除、一期髂骨植骨、钛钢板内固定。术后继续抗痨治疗10～12个月。结果 切口均一期愈合，随访1．5～4．0年．檀骨块5～7个月融合，无移位、折断和吸收。9例不全截瘫者恢复到E级．15例脊柱后凸者平均矫正16，血沉于术后2～3个月恢复到正常，随访期内结核病灶无复发。结论 前路病灶清除、一期髂骨植骨、钛钢板内固定治疗胸腰椎结核，具有矫正后凸畸形、稳定脊柱、并发症少、术后早期离床活动等优点，是胸腰椎结核较安全有效的治疗方法。
Objective To discuss the clinical efficacy in treating thoracolumber spine tuberculosis with partial vertebrectomy, iliac grafting and internal fixation. Methods Thirty-two patients with spinal tuberculosis were treated by anterior partial vertebrectomy, lilac grafting and fixation. Among them,24 patients were performed one or two intervertebral-space fusion, 31 patients were offered there intervertebral-space fusion. Anti-tuberculosis drugs were routinely administered before and after operation. Results All patients were followed up for 1.5-4 years （average 2. 5 years）, The wounds healed uneventfully after surgery in all cases. Bone fusion was achieved 5-7 months after surgery and 9 incomplete paraplegia patients recovered to grade E 2-4 months after operation and 15 cases of kyphosis was corrected partly, The ESR of these patients declined to a normal level 2 to 3 months after surgery. Conclusion The partial vertebrectomy with lilac grafting and internal fixation is a safe and effective therapy for thoracolumber spine tuberculosis.
出处
《西部医学》
2007年第1期61-63,共3页
Medical Journal of West China
