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一期两路手术治疗脊柱结核并截瘫 被引量:5

The operative treatment of spinal tuberculosis with paraplegia by posterior and anterior approach at the same time
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摘要 研究目的探讨脊柱结核并截瘫前路手术的同时行后路内固定的可行性。方法在前路手术的同时于后路行哈氏棒或鲁氏棒内固定.观察其疗效并同单纯前路手术疗效进行比较分析。结果此方法治疗9例,术后1个月X线检查病灶均稳定,3个月截瘫症状全部消失,疗效优于单纯前路手术组(P<0.05)。结论脊柱结核并截瘫在前路子术的同时行后路内固定是可行的,并且能够促进截瘫的恢复,预防远期并发症的发生. Objective To explore the feasibility of posterior internal fixation and anterior operation for spinal tuberculosis complicated with paraplegia, and analysis the curative effects.Methods First, the ante-operation were took,then the internal fixation with Harrington's rod or Lugue's rod were carried out in posterlor approach.and.cornpared with effects of ante-operation only.Results in all nine cases treated. the foci were stable under X-ray one month affer operation,the paraplegic symptoms recovered three months after operation The curative effects were better than decompression and fusion (P<0. 05)Conclusion It is feasibie to operate at the same time with internal fixation and post-approach in spinal tuberculosis complicated paraplegia This method can promte tne curative effect of paraplegia.and can prevent form the remote complications
出处 《新乡医学院学报》 CAS 1994年第2期161-162,165,共3页 Journal of Xinxiang Medical University
关键词 脊柱结核 截瘫 外科手术 tuberculosis of spine paraplegia operative treatment internal fixation
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同被引文献31

  • 1赵宏,叶启彬,李世英,饶余波,李鹤年.内固定技术用于脊柱结核治疗[J].中国医学科学院学报,1994,16(3):206-209. 被引量:24
  • 2徐双铮.骨关节结核的药物治疗[J].中国农村医学,1996,24(11):10-13. 被引量:2
  • 3殷大奎.殷大奎副部长在“世界防治结核病日”座谈会上的讲话[J].中国防痨杂志,1999,21(2):57-58.
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  • 6李远景 张德.脊柱结核病灶清除术后留置负压引流8例报告[J].中国脊柱脊髓杂志,1997,7(2):59-59.
  • 7Rezai,AR,Lee M,Cooper PR.Modern management of spinal tuberculosis[J].Neurosurg,1995,36(1):87-98.
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  • 9Medical Research Council Working Party on Tuberculosis of spine.A 15-year assessment of controlled trials of the management of tuberculosis of the spine in Korea and Hong Kong[J].J Bone Joint Surg(Br),1998,80,456-462.
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