脊柱结核的外科治疗进展

Development of spinal tuberculosis in surgical therapy

近年来,结核的发病率不断上升,而作为全身骨关节结核发病率首位的脊柱结核一直是骨科医生研究的焦点。随着对脊柱结核认识的不断深入以及脊柱内固定技术的不断提高,近年来脊柱结核的治疗发展迅速,尤其是外科治疗取得了可喜的进步,在手术病例的选择、术前准备、手术中技巧及术后处理等方面有了许多新的发现,现就此做一简单综述。

For the past few years, incidence of tuberculotic disease inceased stablely, spinal tuberculosis, as the highest incidence of tuberculosis of bones and joints, has been the focus of the orthopedist study. With the development of recognization of spinal tuberculosis and spinal internal fixation technology, the treatment of spinal tuberculosis has been made a great progress, especially in surgical therapy, many new ways have been found in selection of surgical cases, preparation of surgery, surgical skills and surgical postprocessing. Now summarization is made in this paper.