摘要
目的:探讨短程化疗联合病灶清除、一期植骨内固定治疗胸腰椎结核的疗效。方法采用短程化疗、病灶清除、一期植骨及前路或后路内固定术治疗70例胸腰椎结核患者。结果70例均获随访,时间1~5(3.5±0.8)年。患者神经症状得到改善,植骨骨性融合,后凸畸形矫正较满意。结论短程化疗联合病灶清除、一期植骨及前路或后路内固定术,对患者神经功能的恢复、病椎的融合、脊柱稳定性的重建等方面治疗效果满意。
Objective To explore the clinical effect for the treatment of thoracic and lumbar tuberculosis with short-course chemotherapy and removing lesion of tuberculosis and bone graft with internal fixation at one stage.Methods 70 patients with thoracic and lumbar tuberculosis were treated with short-course chemotherapy and removing lesion of tuberculosis and bone graft and internal fixation.Results All patients were followed up for 1 ~5 (3.5 ±0.8 ) years.Bone graft obtained fusion,correction of deformity was satisfactory,and nerve symptom improved.Conclu-sions Removal lesion of tuberculosis is the main method for the treatment of spinal vertebra tuberculosis.On the ba-sis of short-course chemotherapy and the operation,internal fixation can increase stability of the spine,improve the rate of bony union and obtain satisfactory correction for deformity,which is safe and reliable at one stage.
出处
《临床骨科杂志》
2014年第2期128-130,共3页
Journal of Clinical Orthopaedics
关键词
短程化疗
结核
脊椎
骨移植
内固定
short-course chemotherapy
tuberculosis,spinal
bone grafting
internal fixation