改良一侧一次病灶清除椎间大块植骨治疗脊柱结核的临床研究(附81例临床报告)

A Clinical Study of Treatment of Spinal Tuberculosis by Improved Single One-side Curettage and Bone Grafting -A 81 Case Report

采用改良一侧一次病灶清除椎间大块植骨治疗脊柱结核 81例(83次手术),治愈率97.35％);82次椎间植骨;术后 3次拍片复查,无 1例植骨块滑脱,全部骨性融合;15例合并截瘫患者中14例治愈。作者详细介绍了手术操作和椎间大块植骨的改进方法,重点讨论了彻底清除病灶的重要性,保留后关节突的椎管前外侧减压和大块植骨固定脊柱的优点。

This article presents resutlts of 83 operations on 81 cases of spinal tuberculo sis treated by improved single one-sied curettage and bone graftyng. The recovery rate was 97. 35%. Of the 82 cases of bone grafting,no slipping occurred and bone fusion were achieved in all cases ,which were confirmed for more than three times by X-rays examina tion. Of the 15 cases accompanied by paraplegia, 14 were cured and returned to their work . The author discussed the importance of a full curettage, the advantage of decompression of the vertebral canal from anterior - external approach and inferior and the merits of fixing columna vertebralis with a large bone graft.