脊柱结核前路病灶清除支撑植骨材料选择的现状  

The present situation of choice for supporting and bone grafting material for anterior reconstruction after debridement of spinal tuberculosis

作　　者：张凌汉[1] 宋跃明[1] 

机构地区：[1]四川大学华西医院骨科,成都610041

出　　处：《国际外科学杂志》2011年第1期50-53,共4页International Journal of Surgery

基　　金：国家科技支撑计划课题（No.2007BAE131304）

摘　　要：骨与关节结核最好发于脊柱,目前治疗脊柱结核主要采用经前路病灶清除支撑植骨内固定术.自体骨目前仍是脊柱结核患者前路重建材料选择的＂金标准＂,同种异体骨、人工骨以及钛网、生物材料等人工椎间支撑体也在临床上有着较为广泛的应用,但仍存在着各自的不足,目前尚不能完全取代自体骨.内固定方面,前方内同定由于可以提供良好的前路支撑,已成为用于活动性脊柱结核需要行前路病灶清除术的患者的一种常规手术方法.本文就脊柱结核前路病灶清除术后前路重建时支撑植骨材料选择的现状作一综述.Tuberculosis of bone and joint most commonly occurs in spine, and the main treatment method is anterior debridement, bone grafting and internal fixation. Autologous bone is still considered the ＂gold standard＂ when the anterior reconstruction of spine after debridement is needed. Allogeneic bone, artificial bone and artificial intervertebral support bodies such as titanium mesh and some biological materials also have a broad clinical application, but still can not completely replace the autologous bone because of their defects. In the aspect of internal fixation, anterior fixation has become a conventional method for the patients who suffer from active spinal tuberculosis and need anterior debridement of the focus, because this method can provide good support. This review summarizes the present situation of choice for supporting and bone grafting material for anterior reconstruction after debridement of spinal tuberculosis.

关 键 词：脊柱结核 前路 支撑植骨 

分 类 号：R687.3[医药卫生—骨科学]