摘要
目的：探讨经椎弓根漏斗＋蛋壳技术刮除病灶的方法,并对此手术的优缺点及并发症进行分析。方法：对脊柱结核29例选择性的使用漏斗技术经后路椎弓根刮除病灶,使椎体呈蛋壳样,再植骨,内固定治疗。结果：本组病例手术伤口均一期愈合,无窦道形成及感染,无脊髓神经损伤,术后随访平均（12-30）个月,所有病例植骨均融合,内固定无松动断裂,腰腿痛症状完全缓解,可正常行走,脊柱畸形矫正良好,复发率低。结论：脊柱后路经椎弓根漏斗＋蛋壳技术可彻底清除椎体内病灶、置内固定简单并具有很高的安全性及准确度。手术操作时间短、出血少,术后患者康复快。
Objective：To observe the advantage and disadvantage of bone graft and fixation after curettage using ver- tebral funnel with eggshell technique in spinal tuberculosis surgery. Methods：29 cases of spinal tuberculosis were select- ed for treatment with vertebral funnel with egg shell technique, in which the tuberculosis＇s focus was scraped up to the vertebra like a egg shell and the bone graft and fLxatiou were completed. Results：During followed up of 12 to 30 months, all patients＇surgical wound healed without sinus formation, infection and spinal cord injury, and bone graft was fusion without internal fixatiou loosing and complete demission of low back pain. The patients can walk normally and good spi- nal deformity correction. Conclusions：The results suggest that the vertebral body lesions due to tuberculosis can be cured completely by vertebral funnel with egg shell technique in spinal tuberculosis surgery, the fixation is easy and safety. The Recurrence rate was lower.
出处
《青海医药杂志》
2013年第10期4-6,共3页
Qinghai Medical Journal
