李立钧;谭军;周炜;赵卫东;

• 1:同济大学附属东方医院骨科
• 2:同济大学附属东方医院骨科
• 3:同济大学附属东方医院骨科
• 4:同济大学附属东方医院骨科 上海200120

摘要(Abstract)：

[目的]评价一期病灶清除、同种异体骨移植联合前路和(或)后路内固定治疗脊椎结核的疗效。[方法]从2002年1月~2005年10月,共治疗多节段脊柱结核患者15例,其中胸椎结核8例,胸腰段结核5例,L2以下腰椎结核2例。采用前路病灶清除,同种异体骨移植,胸腰段及腰椎病人应用前、后路联合内固定;而胸椎结核单纯应用前路单棒内固定的方法。其中后期8例手术采用微创方法(胸腔镜、X-tube)。[结果]术后15例患者均行正规抗结核治疗,平均随访25.4个月。所有患者切口均一期愈合,结核病灶最终获得骨性融合,后凸矫正角度平均19.9°;除1例FrankelB级患者神经功能检查无明显恢复外,其余均有不同程度的恢复。[结论]脊柱稳定性对于脊柱结核治疗具有重要意义,内固定器材、同种异体骨移植以及合适的手术方式能够有效提高临床疗效,微创方法能够简化手术,减少术中失血,值得推广。

关键词(KeyWords)： 脊椎;结核;内固定;骨移植

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 李立钧;谭军;周炜;赵卫东;

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DOI:

参考文献(References)：

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