颈椎结核手术治疗中内植物的应用进展  

Application progress of implantation in surgical treatment of cervical tuberculosis

作　　者：王旭[1] 李沐风 朱宇航[1] 朱庆三[1] WANG Xu;LI Mufeng;ZHU Yuhang;ZHU Qingsan(Department of Orthopedics,China-Japan Union Hospital of Jilin University,Changchun Jilin,130033,P.R.China)

机构地区：[1]吉林大学中日联谊医院骨科,长春130033

出　　处：《中国修复重建外科杂志》2022年第1期122-126,共5页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的综述颈椎结核手术治疗中不同内植物材料的特点及使用方法,以及新型内植物的研究进展。方法通过查阅国内外颈椎结核治疗的相关文献,从内植物分类、优缺点、发展前景等方面进行分析、归纳和总结。结果颈椎结核发病率逐年升高,且有着较高致残率。目前颈椎结核手术治疗中内植物材料主要分为骨性材料、金属材料以及生物活性材料,有各自优点及不足(如自体骨骨量有限、同种异体骨并发症较多、金属材料植骨融合效果较差等)。随着科学技术的发展,内植物材料也更加多样化。结论内植物的选择直接影响植骨融合效果,从而进一步影响颈椎结核的治疗效果;新型内植物材料的发展为颈椎结核的治疗提供了多样化选择。Objective To review the characteristics and applications of different implantation in cervical tuberculosis surgery and the research progress of the new implantation.Methods By consulting relevant domestic and foreign research literature on cervical tuberculosis,the classification,advantages,disadvantages,and prospects of implantations were analyzed and summarized.Results The incidence of cervical tuberculosis has increased recently and has a high disability rate.Currently,the implantation in the surgical treatment of cervical tuberculosis are mainly divided into bone materials,metal materials,and bioactive materials;the above materials have their own advantages and disadvantages,for example,the amount of autologous bone is limited,the complications of allogeneic bone are common,and the bone fusion effect of metal materials is poor.With the development of science and technology,the implantation are also more diverse.Conclusion The choice of the implantation affects the bone fusion directly,furthermore,it affects the effectiveness of cervical tuberculosis,the development of new implantation provides a variety of options for the treatment of cervical tuberculosis.

关 键 词：颈椎结核 内植物 骨性材料 金属材料 生物活性材料 

分 类 号：R687.3[医药卫生—骨科学]