儿童脊柱结核诊疗现状及进展

Current status and progress in diagnosis and treatment for children with spinal tuberculosis

通过分析最近几年关于儿童脊柱结核诊疗方面的相关文献,从诊断和治疗两方面探讨儿童脊柱结核的特点;并评估各种诊疗手段的临床应用价值。目前认为早期诊断、及时解除压迫症状、维持脊柱的稳定、预防晚期脊柱畸形进一步加重是儿童脊柱结核诊疗的重点。在抗结核药物治疗基础上,采用个体化的手术干预及支具制动策略,可良好地缓解症状,控制疾病的进展,减少并发症的发生,提高患儿生存质量。基因诊断及微创治疗为儿童脊柱结核的诊疗提供了新的思路。

Through the analysis of literatures about the diagnosis and treatment of children's spinal tuberculosis in recent years, from two aspects of diagnosis and treatment to study the characteristics of spinal tuberculosis in children, and evaluate the clinical value of various diagnostic methods. Early diagnosis and timely removement of oppression symptoms, maintaining the stability of the spine, preventing further advanced spinal deformity are considered to be the key in diagnosis and treatment of children's spinal tuberculosis. On the basis of anti-tuberculosis drugs treatment, adopting the strategy of individualized operation and braking can be good to relieve symptoms, control the progress of the disease, reduce complications and improve the quality of life in children. Genetic diagnosis and minimally surgical treatment offer new ways for the diagnosis and treatment of spinal tuberculosis in children.