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脊椎结核是儿童骨病发病率较高的疾病,易并发截瘫,治疗不当将导致终生残疾。我院1976年6月、1991年6月收治12岁以下儿童脊椎结核325例,其中合并截瘫59例,截瘫发生率18.2％。 1 临床资料 1.1 一般资料:59例病人中,男26例,女33例,年龄1岁9个月～12岁,平均5岁6个月。病变部位:颈椎2例,上位胸椎16例,下位胸椎36例,胸腰段5例。累及椎体数:2个椎体27例,3个椎体22例,4个椎体7例,5个椎体1例,6个椎体2例。其中4例合并附件结核,骨病活动型截瘫56例,骨病治愈型截瘫3例,不全瘫25例,完全截瘫34例。截瘫时间最长2年,最短11天,平均4个月13天。
Spinal tuberculosis is a high incidence of bone disease in children, easy paraplegia, improper treatment will lead to life-long disabilities. Our hospital in June 1976, June 1991 admitted to children under the age of 12 spinal tuberculosis in 325 cases, of which 59 cases of paraplegia, paraplegia incidence of 18.2%. 1 Clinical data 1.1 General information: 59 patients, 26 males and 33 females, aged 1 year and 9 months to 12 years, an average of 5 years and 6 months. Lesions: 2 cases of cervical spine, upper thoracic vertebra 16 cases, lower thoracic 36 cases, thoracolumbar 5 cases. Involved in the number of vertebral body: 27 cases of 2 vertebrae, 3 vertebral body in 22 cases, 4 vertebral body in 7 cases, 5 vertebral body in 1 case, 6 vertebral body in 2 cases. Among them, 4 cases were complicated with annex tuberculosis, 56 cases were active paraplegia with osteopathic disease, 3 cases were cured bone-healing paraplegia, 25 cases were incomplete paraplegia and 34 cases were complete paraplegia. Paraplegic up to 2 years, the shortest 11 days, an average of 4 months and 13 days.