[1]郝定均,郭华,吴起宁,等.复杂性脊柱结核的临床特点及手术方式探讨[J].第三军医大学学报,2009,31(20):1947-1950.
 HAO Ding-jun,GUO Hua,WU Qi-ning,et al.Clinical features and operative method of complicated spinal tuberculosis[J].J Third Mil Med Univ,2009,31(20):1947-1950.
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复杂性脊柱结核的临床特点及手术方式探讨(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
31卷
期数:
2009年第20期
页码:
1947-1950
栏目:
专题报道
出版日期:
2009-10-30

文章信息/Info

Title:
Clinical features and operative method of complicated spinal tuberculosis
作者:
郝定均郭华吴起宁贺宝荣方向义
西安市红十字会医院脊柱外科
Author(s):
HAO Ding-jun GUO Hua WU Qi-ning HE Bao-rong FANG Xiang-yi
Department of Spinal Surgery, Xi’an Red-cross Hospital, Xi’an 710054, China
关键词:
复杂性脊柱结核临床特点手术方式
Keywords:
complicated spinal tuberculosis clinical characteristics surgical operation
分类号:
R529.2;R615
文献标志码:
A
摘要:
目的   探讨复杂性脊柱结核的临床特点及手术方式。   方法   分析我科1997-2006年收治的562例脊柱结核的病例资料,对其中的87例复杂性脊柱结核进行分类,不同的类型采取不同的手术方式。   结果   87例平均随访3年2个月,参见方先之制定标准,治愈75例,好转12例,优良率为97.1%,87例植骨者术后9个月的融合率为96.3%,后凸角度平均纠正25. 3°。47例截瘫患者神经恢复平均恢复2级,1例患者术后慢性窦道形成,8周后再次手术后愈合。   结论   复杂性脊柱结核不应成为手术禁忌证,而是手术适应证,只要术前充分准备,根据不同类型结合术前评定提出不同的手术策略, 完全可取得很好的疗效。
Abstract:
Objective   To explore the clinical features and operative method of complicated spinal tuberculosis.     Methods   Totally 562 inpatients suffering from spinal tuberculosis during January 1997 to December 2006 were reviewed retrospectively. A new definition of complicated spinal tuberculosis was made. Complicated spinal tuberculosis was classified into different types. Every type had its special surgical operation approach.     Results   Among the 87 cases being followed up for 45 months, 75 patients were totally recovered, and 12 patients were obvious improved on the mend according to Dr. Fang Xian-zhi’s standard. The classification of function which above good was 97.1%. The fusion rate was 96.3% during 87 patients who received bone grafting treatment 9 months ago. Posterior convex angle was 24°  to 57°, average 35.3°.    Conclusion   We consider that complicated spinal tuberculosis will not be surgical contraindication. Different types of complicated spinal tuberculosis by different operation approach, and careful preparation before operation will gain good curative outcome.

参考文献/References:

郝定均, 郭华, 吴起宁, 等. 复杂性脊柱结核的临床特点及手术方式探讨[J]. 第三军医大学学报,2009,31(20):1947-1950.

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更新日期/Last Update: 2009-10-21