| 27例外科治疗脊柱结核病例的长期随访与分析 |
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| 引用本文： | 欧阳鸿玮,赵雪丹,史克明,常殿霞,毕龙.27例外科治疗脊柱结核病例的长期随访与分析[J].现代生物医学进展,2010,10(24). |
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| 作者姓名： | 欧阳鸿玮 赵雪丹 史克明 常殿霞 毕龙 |
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| 作者单位： | 1. 吉林省辽源矿业集团职工总医院骨科,吉林,辽源,136201
2. 第四军医大学西京医院骨科,陕西,西安,710032 |
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| 基金项目： | 国家自然科学基金(30901532) |
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| 摘 要： | 目的:通过长期随访27例外科治疗脊柱结核病例,探讨外科方法对于脊柱结核的治疗效果。方法:回顾性分析本单位近10年来收治的采用病灶清除植骨内固定术治疗的27例脊柱结核病例,通过分析平均44个月的随访结果,评价外科手术和药物干预的治疗效果。结果:本组所有患者早期随访结果显示:伤口一期愈合,内固定稳定,脊髓压迫症状缓解或消失。长期随访结果显示:能够贯彻全程化疗方案的病例,植骨完全融合,脊髓症状无反复,结核病灶无复发;未能完成化疗方案的4例患者在切口部位出现窦道,并在植骨床周围形成死骨,感染复发。4例复发患者经全身使用抗结核药物和二次手术翻修,在完成12月术后化疗后治愈。结论:对于脊柱结核必需坚持外科手术与术后全程化疗并重的的治疗方法。
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| 关 键 词： | 脊柱结核 病灶清除 植骨 内固定 化疗 |
Long-term follow-up and analysis of 27 cases of spinal TB after surgical treatment |
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| OUYANG Hong-wei,ZHAO Xue-dan,SHI Ke-ming,CHANG Dian-xia,BI Long.Long-term follow-up and analysis of 27 cases of spinal TB after surgical treatment[J].Progress in Modern Biomedicine,2010,10(24). |
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| Authors: | OUYANG Hong-wei ZHAO Xue-dan SHI Ke-ming CHANG Dian-xia BI Long |
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| Institution: | OUYANG Hong-wei1,ZHAO Xue-dan1,SHI Ke-ming1,CHANG Dian-xia1,BI Long2(1 Department of orthopaedics,generalworker hospital of Liaoyuan mineral group,Liaoyuan,Jilin 136201,2 Department of orthopaedics,Xijing hospital,FMMU,Xi'an Shanxi 710032) |
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| Abstract: | Objective: To evaluate the treating effects of surgery on the spinal tuberculosis of twenty-seven patients by long term fellow up.Method: Twenty-seven patients with spinal tuberculosis,admitted in our hospital in the past 10 years,were retrospectively an-alyzed.They were treated with focal clearance followed with boneautograft and internal fixation.After average period of 44 months,the treating effects ofsurgery andchemotherapy.Results: The results of short term follow-up showed that all the cuts were A hea... |
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| Keywords: | Spinal tuberculosis Focal clearance Bone transplantation internal fixation Chemotherapy |
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