腰骶段结核后路内固定、前路病灶清除、钛网充填植骨术  

The combined application of posterior fixation,anterior radical debridement and titanium mesh bone fusion for the treatment of lumbosacral tuberculosis

作　　者：王旭[1] 谷守山[1] 李永民[1] 李颉[1] 

机构地区：[1]河北省唐山市第二医院脊柱外科,河北唐山063000

出　　处：《中国现代医学杂志》2011年第10期1223-1226,共4页China Journal of Modern Medicine

摘　　要：目的探讨腰骶段结核后路内固定、前路病灶清除及钛网充填植骨术的临床疗效。方法 2005～2008年采用后路固定、前路病灶清除及钛网充填植骨术治疗腰骶段结核患者15例,术后观察伤口愈合、结核中毒症状及神经功能的恢复、固定融合及复发情况。结果 15例患者获得1～3年随访,伤口均一期愈合,结核中毒症状明显改善或消失,神经功能完全恢复,固定融合情况良好,无结核复发迹象,6～12周带支具下床活动,6个月恢复正常生活及工作。结论腰骶段结核后路内固定、前路病灶清除及钛网充填植骨术可有效保留椎间高度及维持脊柱的稳定性,是一种值得推广的治疗腰骶段结核的手术方法。【Objective】 To evaluate the clinical value of combined application of posterior fixation,anterior radical debridement and titanium mesh bone fusion for the treatment of lumbosacral tuberculosis.【Method】 Retrospective analyzed 15 cases of lumbosacral tuberculosis of 2005 to 2008.Operative methods including： posterior fixation,anterior radical debridement and bone fusion with titanium mesh cages.Data evaluation included posterior incision concrescence,recovery of tuberculosis symptoms and neurologic function,bone fusion and the recurrence of spinal tuberculosis.【Result】 All patients were visited regularly after operation for 1~3 years.The incision became healed for the first stage.The tuberculosis symptoms were improved obviously or disappeared.No titanium mesh bone fusion or fixation failure and no recurrence of spinal tuberculosis.After operation,all patients got exercises out of bed by wearing orthosis 6~12 weeks later and did normal work 6 months later.【Conclusion】 The posterior fixation,anterior radical debridement and titanium mesh bone fusion is an effective method in the treatment of lumbosacral tuberculosis.It can maintain the intervertebral height and spinal stability and is a better method for treating the lumbosacral tuberculosis.

关 键 词：腰骶段 结核 固定 钛网 植骨术 

分 类 号：R529.2[医药卫生—内科学] R687.3[医药卫生—临床医学]