病灶清除术治疗109例脊椎结核失败原因分析  

Analysis of reasons failed focal debridement in 109 patients with spinal tuberculosis

作　　者：张卫红[1] 吴启秋[1] 林羽[1] 程宏[1] 

机构地区：[1]北京市结核病胸部肿瘤研究所骨科

出　　处：《中华结核和呼吸杂志》1998年第3期181-183,共3页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：目的探讨脊椎结核治疗失败的原因及处理办法。方法对１９８７～１９９６年间收治的初次手术治疗失败的脊椎结核１０９例进行回顾性分析。结果治疗失败的主要原因为：化疗不合理及耐药菌株的产生；手术时机、术式选择及术中处理不当；多椎体病变、跳跃型病变及合并其他肺外结核。结论治疗成功的关键是在合理用药的基础上严格掌握手术适应证、选择手术时机和手术途径，清除病灶，解除脊髓压迫。Objective To explore reasons failed focal debridement in treating spinal tuberculosis patients and methods to cope with them. Method One hundred nine patients with spinal tuberculosis who failed initial focal debridement from 1987 to 1996 were reviewed. Result The reasons of operational failure were found to be the use of unreasonable regimens and existance of drug resitant strains; inappropriate operational indication, approach and treatment during operation; lesions involving several vertebras, skipping destruction and complicating with other kinds of extrapulmonary tuberculosis. Conclusion The key to successful treatment of the disease is to choose appropriate operative indication and approach, discard spinal cord pressure and rebuild spinal stability on the basis of reasonable chemotherapy regimen.

关 键 词：骨关节结核 脊椎结核 外科手术 

分 类 号：R529.205[医药卫生—内科学]