经皮穿刺置管灌注化疗治疗脊柱椎体结核脓肿  

Percutaneous catheter drainage combined with local chemotherapy in the treatment of spinal tuberculous abscesses

作　　者：黄湘荣[1] 陆普选[1] 詹子睿[2] 朱文科[1] 张利萍[1] 李苑[1] 

机构地区：[1]深圳市第三人民医院放射科,广东518020 [2]深圳市第三人民医院骨科,广东518020

出　　处：《当代医学》2010年第17期327-331,共5页Contemporary Medicine

基　　金：深圳市科技计划项目;编号200903087

摘　　要：目的评价经皮穿刺置管局部灌注化疗治疗胸腰椎体结核的疗效。方法收集2009年1月～2009年6月PCD治疗的胸腰椎体结核患者12例(椎体17个),CT或MRI证实腰椎结核,椎体骨质破坏严重,不伴椎体严重后突畸形和截瘫。在全身化疗的同时,行CT引导下经皮穿刺置管灌注冲洗和持续化疗。结果所有患者手术顺利,引流时间37～68天,平均52天。术后随访时间6～10月,患者的疼痛和发热消失,恢复正常工作或生活,无严重并发症发生。结论胸、腰椎体结核,当椎体破坏严重,CT引导下经皮穿刺置管高浓度抗结核药物保留灌洗治疗是一种安全有效、并发症少的治疗方法。Objective To evaluate the efficacy of percutaneous catheter drainage（PCD） in the treatment of spinal tuberculous abscesses Methods A retrospective analysis of 12 patients with spinal tuberculous abscesses（17 abscesses） treated by PCD from January 2009 to June 2009 was made.All patients were confirmed by CT or MRI imagiologically as spine tuberculosis,with severe vertebral destroy without vertebral instability severe kyphosis or collapse or paraplegia.At the same time of systematic chemotherapy,operation included PCD,local chemotherapy were done Results All of the cases were successful during the operation and no complication happened.The range duration of drainage was 37

关 键 词：微创治疗 脊柱结核 局部化疗 

分 类 号：R687.3[医药卫生—骨科学]