后入路手术治疗胸腰骶椎结核

Posterior surgery in treatment of thoraco-lumbar vertebral tuberculosis

目的探讨后人路手术治疗胸腰骶椎结核的治疗效果。方法145例胸腰骶椎结核患者，其中男98例，女47例，年龄15~74岁，平均41．2岁，均在抗结核治疗半月至一月后行后路病灶清除加椎间植骨融合椎弓根钉内固定术。结果术后随访12—24个月，平均17个月。大部分患者结核病灶消失，骨性融合，畸形矫正，其中2例患者出现瘘道，经换药治疗后伤口痊愈。结论后入路手术治疗胸腰骶椎结核是治疗脊柱结核的一种有效方法，具有人路简单，创口小，后凸畸形矫形满意，手术后病椎稳定等特点。

Objective To discuss the curative effect of posterior surgery in treatment of thoraco-lumbar vertebral tuberculosis. Methods 145 patients with thoracic and lumbar sacrum tuberculosis of which male 98 cases, female 47 cases aged 15 - 74, averaging 41.2, tuberculosis treatment about half a month to a month in posterior approach for anterior debridfment and intervertebral fusion with pediele internal fixation. Results Postoperative follow-up 12 ~ 24 months, an average of 17 months, most patients with tuberculosis treated by dis- appearing, bony fusion, deformity correction, where a stoma tract 2 patients, dressing and wound healing after treatment. Conclusion Posterior surgery is an efficient method for the treatment of spinal tuberculosis, with approach of simple, wound small and kyphotic deformity correction with satisfaction after surgery of vertebral characteristics such as stable.