脊柱结核病灶清除术的临床应用评述  

Review the clinical application of different debridement in spine tuberculosis

作　　者：蒋电明 刘列华 周强 JIANG Dianming;LIU Liehua;ZHOU Qiang(Department of Spine Surgery,The Third Affiliated Hospital of Chongqing Medical University,Chongqing 401120,China)

机构地区：[1]重庆医科大学附属第三医院脊柱外科,重庆401120

出　　处：《西部医学》2020年第8期1098-1103,1109,共7页Medical Journal of West China

基　　金：国家“863”项目(2002AA326020);国家自然科学基金(81171685、81472057)。

摘　　要：脊柱结核病灶清除手术具有悠久的历史。1934年,日本Ito通过直接切开进入病变椎体清除病灶治疗脊柱结核,其疗效并不理想。1948~1951年,抗结核药物陆续应用于临床,随后出现了“香港术式”和方先之先生的“病灶清除疗法”。2000年后,彻底病灶清除术以及微创理念用于脊柱结核的病灶清除。近年脊柱内镜、经通道手术也相继用于脊柱结核的治疗。本文就不同时期的脊柱结核病灶清除术在临床中的应用作一述评。Debridement used for spine tuberculosis has a long history.In 1934,Ito directly cut into the diseased region to clear the lesion to treat spine tuberculosis,and its efficacy was not ideal.From 1948 to 1951,anti-tuberculosis drugs were successively used in clinics,and then“Hong Kong surgery”and“lesion removal therapy”proposed by Xianzhi Fang were appeared.After 2000,thorough debridement and minimally invasive concepts were used for spine tuberculosis.In recent years,spine endoscopy and trans-channel surgery have been applied to treat spine tuberculosis.We will review the clinical application of different debridement in spine tuberculosis.

关 键 词：脊柱结核 病灶清除术 寒性脓肿 脊柱微创 椎间孔镜 

分 类 号：R681.2[医药卫生—骨科学]