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编号:13768116
I期后路病灶清除植骨内固定治疗胸腰椎结核
http://www.100md.com 2011年6月1日 陈顺广 廖全明 鲁厚庚 刘 军
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     [摘要]目的:总结后路病灶清除植骨内固定治疗胸腰椎结核的临床效果。方法:采用后路病灶清除后路椎弓根固定术治疗胸腰椎结核21例。结果:术后随访12~32个月,平均18个月。患者手术切口一期愈合17例,4例术后1-3月结核窦道形成,行清创、引流、理疗等愈合,两例结核病复发,余植骨均获骨性融合。术前Cobb角19.8°,术后Cobb角10.4°,平均矫正9.4°。结论:对胸腰椎结核患者行后路病灶清除植骨内固定治疗可有效矫正脊柱后凸畸形,重建脊柱稳定性,获得良好的骨性融合。

    [关键词]胸腰椎骨质;后路病灶清除,内固定

    [Abstract]To analyze the clinical effectivencess of one – stage posterior focus debridement and internal fixation with bone graft in the treatment of Thoracolumbar Tuberculosis. Method: 21 cases of Thoracolumbar Tuberculosis were treated with posterior focus debridement and internal fixation with bone graft. Result: All of the cases were followed up from period of 12 months to 32 months (18 months in average). Operative incision of 17 cases were primary healed, and sinus tracts were formed in 4 cases, which were to heal through debridement, debridement and physiatrics. Two cases relapsed, and all of the other cases get osteal confluens. The cobb angle, whichwas 19.8°in average before operation ......

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