上胸椎椎体结核的前路一期植骨内固定治疗  

Surgical management for upper thoracic vertebral tuberculosis

作　　者：程雷[1] 聂林[1] 候勇[1] 丛木林[1] 原永健[1] 

机构地区：[1]山东大学齐鲁医院骨创科,济南250012

出　　处：《颈腰痛杂志》2006年第5期350-352,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨和评价上胸椎椎体结核的外科治疗的方法。方法1999年10月～2004年8月采用前路经胸腔病灶清除、椎体间植骨、椎体内固定对18例脊柱上胸段结核的患者进行一期手术治疗。结果本组病例切口均一期愈合,术后对18例患者随访7个月至4年(平均1.8年),全部患者疼痛症状均消失,植骨全部骨性愈合(愈合时间3～7个月,平均4.5个月),后突畸形矫正率为82%,无结核复发。结论前路经胸腔病灶清除、椎体间植骨、椎体内固定是治疗上胸椎椎体结核的有效方法。Objective To evaluate the clinical efficacy of surgical management for upper thoracic vertebral tuberculosis. Methods 18 patients with upper thoracic vertebrae tuberculosis were treated surgically by anterior route resection,interbody autografting and an-terior instrumentation from Oct. 1999 to Aug. 2004. Results All these patients had their incision healed by first inten tion,and no recurrence of spinal tuberculosis was noted in any patient during the follow up period. Kyphosis correction rates were achieved by 82%on the average postoperativelly,solid fusion at the interface between the graft and adjacentvertebral bodies was shown radiologically in 4.5 months on average. Conclusion Anterior route resection,interbody autografting and anterior instrumentation has more advantages intreatment for upper thoracic vertebral tuberculosis.

关 键 词：结核 外科治疗 上胸椎 

分 类 号：R529.2[医药卫生—内科学] R687.32[医药卫生—临床医学]