【摘要】 目的 探讨胸腰椎结核合并截瘫的特点、手术治疗与术式选择的关系，以及非手术治疗的适应证与可行性。方法 将48例胸腰椎结核合并截瘫患者分为两组，其中手术组32例，非手术组16例。两组患者分别采用胸腹膜外手术、经胸腹膜外手术和保守治疗。结果 16例非手术治疗组中14例(88%)的截瘫完全恢复，手术治疗组32例的截瘫恢复率为75%。结论 胸腰椎结核合并截瘫可通过手术和非手术方法治愈，手术治疗的疗效与术式有直接关系。

    Treatment of thoracolumbar tuberculosis complicated withparaplegia Lin Yu, Guan Boqing, Wu Qiqiu, et al.Beijing Tuberculosis and Thoracic Tumour Institute, Beijing 101149

     【Abstract 】 Objective To explorecharacteristics of thoracolumbar tuberculosis complicated with paraplegia, relationshipbetween efficacy and approach of operation, and to discuss indication and applicability ofconservative treatment. Method Forty-eight caseswith thoracolumbar tuberculosis complicated with paraplegia were classified into twogroups. Thirty-two cases in the operational group were treated with extrapleural,extraperitoneal approach and transpleural, extraperitoneal approach. Sixteen cases in thenonoperational group were treated conservatively. Result The recovered cases in the operational and the nonoperationalgroups respectively accounted for 75% and 88%. Conclusion Thoracolumbar tuberculosis complicated with paraplegia can be curedby either operative or conservative treatment, and the efficacy of operation directlyrelated with operational approach.

     【Key words 】 Tuberculosis, osteoarticular Paralysis Surgery,operational

    

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