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目的探讨脊柱结核的诊断和治疗。方法回顾分析1991年7月~2008年2月收治的637例脊柱结核(腰椎为主)患者的手术治疗资料。结果术后复发率占7%,无死亡病例,发生脊柱后凸畸形者11例,平均治疗时间6~18个月。根据改良PROLO功能评分,术后疗效优良率93%。VAS评分显示,术前平均7.8分,术后平均2.9分,术后比术前有显著降低。结论早期诊断、手术与规律性全程抗结核是脊柱结核的治疗原则,延误诊断可能导致严重后果并影响愈后。
Objective To investigate the diagnosis and treatment of spinal tuberculosis. Methods The data of surgical treatment of 637 patients with spinal tuberculosis (mainly lumbar spine) admitted from July 1991 to February 2008 were retrospectively analyzed. Results The recurrence rate accounted for 7%, no deaths, kyphosis occurred in 11 cases, the average treatment time of 6 to 18 months. According to the improved PROLO function score, excellent postoperative efficacy rate of 93%. The VAS score showed an average of 7.8 points preoperatively and an average of 2.9 points postoperatively, which was significantly lower than that before the operation. Conclusion Early diagnosis, surgery and regularity of the entire anti-TB is the treatment of spinal tuberculosis principle, the delay diagnosis may lead to serious consequences and affect the prognosis.