摘要
目的探讨微创手术治疗脊柱结核的临床疗效。方法回顾性分析32例脊柱结核的临床资料。术前有明显神经症状的8例,其中Frankel分级C级3例,Frankel分级D级5例。所有患者采用术式均为在CT引导下行经皮病灶清除,病灶置管,抗结核药物灌注冲洗引流。以吴启秋结核临床治愈标准进行疗效评估。结果随访1～5年,平均3年,结果所有患者均达到临床治愈,有神经功能损害者均完全恢复。结论脊柱结核微创治疗创伤小,疗效好,对活动期脊柱结核的临床效果好。
Objective Discussion on the clinical effect of minimally invasive surgery in treatment of spinal tuberculosis.Methods Retrospective clinical analysis of 32 cases of spinal tuberculosis information.8 cases of preoperative obvious neurological deficits, which Frankel classification grade C in 3 cases,Frankel grading grade D in 5 cases.Are all patients in the surgical downward CT-guided percutaneous focal cleaning,focus catheter,irrigation and drainage for anti-TB drugs perfusion.To Wu Qiqiu tuberculosis clinical healing efficacy standards.Results Follow-up of 1-5,an average of 3 years,all patients have reached clinical cure,with neurological impairment will be fully recovered.Conculsion Minimally invasive treatment of spinal tuberculosis in small,effect of good, active tuberculosis of the spine and its clinical effect is good.
出处
《中外医疗》
2012年第9期3-4,共2页
China & Foreign Medical Treatment
关键词
脊柱结核
微创手术
CT引导
灌注冲洗
Spinal tuberculosis
Minimally invasive surgery
CT-guided
Irrigation and drainage
