脊柱结核的诊断与治疗现状  

Status on Diagnosis and Treatment of Spinal Tuberculosis

作　　者：俞勇[1] 钟生才[2] 

机构地区：[1]青海大学医学院,青海西宁810001 [2]青海大学附属医院骨科,青海西宁810001

出　　处：《现代诊断与治疗》2008年第3期164-167,共4页Modern Diagnosis and Treatment

摘　　要：脊柱结核是常见的肺外结核,占全身骨与关节结核的一半以上,其诊断主要依靠影像学检查、实验室检查和临床表现。若能早期诊断与治疗脊柱结核,即可避免畸形和瘫痪的发生。CT、MRI扫描在早期诊断中具有重要价值。目前脊柱结核的治疗分为非手术治疗和手术治疗,前者是治疗的基础,后者包括病灶清除术、植骨融合术及内固定技术的应用。对于有手术适应证的患者,须根据其具体病情选择恰当的手术方式,以达到满意的疗效。Spinal tuberculosis,which occupies more than a half of tuberculosis of total bones and joints,is a common extra-pulmonary tuberculosis.Its diagnosis mainly relies on imaging examination,laboratory tests and clinical performances.If spinal tuberculosis is diagnosed and treated early,the occurrence of deformities and paralysis can be avoided.CT and MRI scannings are of great value in the early diagnosis.At present,treatment of spinal tuberculosis is divided into non-surgical therapy and surgical therapy.The former is the basis of the treatment;the latter includes removal of the lesion,bone fusion and fixation techniques.For patients with surgical indications,appropriate surgical methods should be chosen according to their specific conditions in order to produce satisfactory effects.

关 键 词：脊柱结核 早期诊断 治疗 

分 类 号：R529.2[医药卫生—内科学]