中国全科医学2011，Vol.14Issue(20)：2326-2327,2.
前路病灶清除植骨内固定术治疗腰段脊柱结核的临床分析
Anterior Radical Debridement with Autograft Bone Fusion and Internal Fixation in Treating Spinal Tuberculosis in the Lumbar Segment
陈剑平 1陈荣春 1游辉 1朱道信 1张潼2
作者信息
- 1. 341000,江西省赣州市人民医院骨科
- 2. 崇义县人民医院骨科
- 折叠
摘要
Abstract
Objective To evaluate the clinical efficacy of anterior radical debridement with autograft bone fusion and internal fixation in treating spinal tuberculosis in the lumbar segment.Methods Fifty - six patients with spinal tuberculosis were treated with anterior radical debridement with autograft bone fusion and internal fixation, followed by routine short - term anti -tuberculosis chemotherapy.All patients underwent by X - ray and ESR examination postoperatively.Results Fifty - one patients were followed -up for 18-36 months with an average duration of 30 months.One case showed a sinus about 4 weeks after operation and received a second operation.Other patients showed no complications.X - ray examination showed that grafted bones in all cases fused in 6 to 8 months and no loosened or dislocated bone grafts were noticed.No recurrence of spinal tuberculosis were found.No restriction was complained by the patients during bending and squaring.Conclusion Anterior radical debridement with autograft bone fusion and internal fixation is an effective method to treat spinal tuberculosis in the lumbar segment, with increased fusing rate of grafted bones and reduced recurrence of tuberculosis.关键词
脊柱结核/内固定/植骨融合/病灶清除Key words
Spinal tuberculosis/ Internal fixation/ Bone graft bone fuse/ Anterior resection分类
医药卫生引用本文复制引用
陈剑平,陈荣春,游辉,朱道信,张潼..前路病灶清除植骨内固定术治疗腰段脊柱结核的临床分析[J].中国全科医学,2011,14(20):2326-2327,2.
