四川医学2012，Vol.33Issue(8)：1376-1378,3.
腰骶段脊柱结核的手术治疗
Surgical treatment for lumbarsacral junction tuberculosis
黄吉林 1胡豇 2王彦川 3胡云洲3
作者信息
- 1. 成都市第四人民医院,四川成都610036
- 2. 四川省人民医院,四川成都610072
- 3. 成都市第七人民医院,四川成都610041
- 折叠
摘要
Abstract
Objective To evaluate the clinical efficacy of the surgical treatment for lumbarsacral junction tuberculosis. Methods 19 cases of the lumbarsacral junction tuberculosis were treated with surgical treatment in one stage. All patients underwent preoperative chemotherapy for 2 ～ 3 weeks. When decreasing of ESR and getting relief of tuberculosis symptoms, 9 cases underwent anterolateral debridement,3 cases underwent one-stage anterolateral debridement and autograft, 7 cases underwent posterior screw instrumentation plus anterior debridement and autograft. All patients were followed up for 1 ～ 5 years ( average 2. 4 years). Results The wound healed after surgery. Their lession were eliminated completely. The graft fused 6 ～8 months after surgery. The ESR of these patients decreased to a nomal level 2 to 3 months after surgery. There was no recurrence within follw-up period in all the patients. The internal fixation not loosely breaks off. Conclusion Lumbarsacral junction tuberculosis should according to each patient specific extent of damage and lumbarsacral junction stability change, use different operation method treatment, all can obtain good effect.关键词
脊柱结核/腰骶段/病灶清除术/内固定Key words
spine tuberculosis/ lumbarsacral junction/ debridement/internal fixation分类
医药卫生引用本文复制引用
黄吉林,胡豇,王彦川,胡云洲..腰骶段脊柱结核的手术治疗[J].四川医学,2012,33(8):1376-1378,3.
